Provider Demographics
NPI:1144422726
Name:EUBANKS, AARON C (MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:C
Last Name:EUBANKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AARON
Other - Middle Name:C
Other - Last Name:EUBANKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:261 W SOUTHLAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-7046
Mailing Address - Country:US
Mailing Address - Phone:817-310-8783
Mailing Address - Fax:556-403-8728
Practice Address - Street 1:261 W SOUTHLAKE BLVD
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-7046
Practice Address - Country:US
Practice Address - Phone:817-310-8783
Practice Address - Fax:855-640-3872
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS19780207X00000X
TXR0566207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSP00439046OtherMEDICARE RR
MS200000539Medicare PIN