Provider Demographics
NPI:1114655529
Name:AARON BOONE, D.O. & ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:AARON BOONE, D.O. & ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BOONE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:940-736-0212
Mailing Address - Street 1:7300 VALENCIA GROVE CT
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4321
Mailing Address - Country:US
Mailing Address - Phone:940-726-0212
Mailing Address - Fax:
Practice Address - Street 1:1926 SW GREEN OAKS BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-2735
Practice Address - Country:US
Practice Address - Phone:817-200-7088
Practice Address - Fax:817-241-6117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty