Provider Demographics
NPI:1447317342
Name:BEJARANO, ALDO FERNANDO (MD)
Entity type:Individual
Prefix:DR
First Name:ALDO
Middle Name:FERNANDO
Last Name:BEJARANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 2264
Mailing Address - Street 2:SUITE 230
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77588
Mailing Address - Country:US
Mailing Address - Phone:832-386-9200
Mailing Address - Fax:832-386-9203
Practice Address - Street 1:3326 WATTERS RD BLDG D
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2053
Practice Address - Country:US
Practice Address - Phone:832-386-9200
Practice Address - Fax:832-386-9203
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0631208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0075MBOtherBLUE CROSS BLUE SHIELD TX
TX129757407Medicaid
TX129757409Medicaid
TX5318676OtherAETNA INSURANCE
10016354OtherAMERIGROUP
7917366OtherCIGNA INSURANCE
TX5318676OtherAETNA INSURANCE