| Enrico Gulua Aguas, MD | |
|
710 W Main Street, Crosbyton, TX 79322 | |
| (806) 675-7382 | |
| (806) 675-0152 |
| Full Name | Enrico Gulua Aguas |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | 710 W Main Street, Crosbyton, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285697979 | NPI | - | NPPES |
| 140334744 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | J1830 (Texas) | Secondary |
| 207R00000X | Internal Medicine | J1830 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Covenant Hospital Levelland | Levelland, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Staffing Solutions Of West Texas Llc | 7113237868 | 6 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Emergency Staffing Solutions Of West Texas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033593504 PECOS PAC ID: 7113237868 Enrollment ID: O20151109000839 |
| Entity Name | Altus Exceptional Physician Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730869207 PECOS PAC ID: 0042662462 Enrollment ID: O20240122000381 |
| Entity Name | South Lamar Austin Emergency Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477130276 PECOS PAC ID: 8729422076 Enrollment ID: O20240215000216 |
| Entity Name | Texas Er Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235829359 PECOS PAC ID: 4880039338 Enrollment ID: O20240223003917 |
| Entity Name | Amarillo North Texas Emergency Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386325801 PECOS PAC ID: 6608229661 Enrollment ID: O20240226001207 |
| Entity Name | Anderson Mill Austin Emergency Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871170753 PECOS PAC ID: 2668825886 Enrollment ID: O20240306002935 |
| Entity Name | Garth Road Emergency Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790250959 PECOS PAC ID: 8729424247 Enrollment ID: O20240306004352 |
| Entity Name | Fm2100 Emergency Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255806410 PECOS PAC ID: 6901242445 Enrollment ID: O20240307000469 |
| Entity Name | Mueller Austin Emergeny Center, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386221067 PECOS PAC ID: 9335583103 Enrollment ID: O20240307002198 |
| Entity Name | Riverside Austin Emergency Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003493784 PECOS PAC ID: 6507202736 Enrollment ID: O20240311002608 |
| Entity Name | Exceptional Physicians Group Lubbock Hospital Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275317646 PECOS PAC ID: 9931545175 Enrollment ID: O20240311003476 |
| Entity Name | Broadway Emergency Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366917528 PECOS PAC ID: 6901243682 Enrollment ID: O20240318003571 |
| Entity Name | Kingwood Drive Emergency Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336614593 PECOS PAC ID: 4183061328 Enrollment ID: O20240322002631 |
| Entity Name | Us59 Emergency Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245705417 PECOS PAC ID: 0749633881 Enrollment ID: O20240325001877 |
| Entity Name | Fairmont Pkwy Emergency Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083189245 PECOS PAC ID: 9931543147 Enrollment ID: O20240409001447 |
| Entity Name | Eastchase Texas Emergency Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184305609 PECOS PAC ID: 6103264098 Enrollment ID: O20240411001161 |
| Entity Name | Amarillo South Texas Emergency Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811678337 PECOS PAC ID: 1759720329 Enrollment ID: O20240416000050 |
| Entity Name | Brownsville Texas Emergency Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619658135 PECOS PAC ID: 9234578683 Enrollment ID: O20240417003210 |
| Entity Name | Lubbock Texas Emergency Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568143089 PECOS PAC ID: 0244679512 Enrollment ID: O20240418004336 |
| Entity Name | Altus Waxahachie Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649722463 PECOS PAC ID: 6002246428 Enrollment ID: O20240423002562 |
| Entity Name | Harlingen Texas Emergency Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700567229 PECOS PAC ID: 6406297498 Enrollment ID: O20240508001139 |
| Entity Name | Amarillo West Texas Emergency Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255012779 PECOS PAC ID: 5395186274 Enrollment ID: O20240509000755 |
| Entity Name | Altus Lake Jackson Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275957508 PECOS PAC ID: 0042640468 Enrollment ID: O20240509002469 |
| Entity Name | Livingston Texas Emergency Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992486419 PECOS PAC ID: 9931540630 Enrollment ID: O20240513001815 |
| Entity Name | Tyler Texas Emergency Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477234995 PECOS PAC ID: 6507208287 Enrollment ID: O20240527000458 |
| Entity Name | Austin Er Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376114587 PECOS PAC ID: 0648715680 Enrollment ID: O20240715000085 |
| Mailing Address | Practice Location Address |
|---|---|
| Enrico Gulua Aguas, MD 3420 22nd Place, Lubbock, TX 79410 Ph: (806) 725-7800 | Enrico Gulua Aguas, MD 710 W Main Street, Crosbyton, TX 79322 Ph: (806) 675-7382 |