Provider Demographics
NPI:1114019304
Name:AROUSE, AYMAN (MD)
Entity Type:Individual
Prefix:
First Name:AYMAN
Middle Name:
Last Name:AROUSE
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 1:895 N NOLAN RIVER RD STE 101
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-1250
Mailing Address - Country:US
Mailing Address - Phone:817-641-8800
Mailing Address - Fax:817-641-8803
Practice Address - Street 1:895 N NOLAN RIVER RD STE 101
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-1250
Practice Address - Country:US
Practice Address - Phone:817-641-8800
Practice Address - Fax:817-641-8803
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD062828L208000000X
TXN6145208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017184100004Medicaid
TX214335601Medicaid
TX214335601Medicaid