Provider Demographics
NPI:1144422908
Name:AAKER, JUSTIN DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:DAVID
Last Name:AAKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3613 WILLIAMS DR
Mailing Address - Street 2:SUITE 703
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-1377
Mailing Address - Country:US
Mailing Address - Phone:512-686-1224
Mailing Address - Fax:512-686-1272
Practice Address - Street 1:3613 WILLIAMS DR
Practice Address - Street 2:SUITE 703
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-1377
Practice Address - Country:US
Practice Address - Phone:512-686-1224
Practice Address - Fax:512-686-1272
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2020-07-07
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Provider Licenses
StateLicense IDTaxonomies
CAA130749207W00000X
MO2011006231207W00000X
TXP1953207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX516678ZVXQMedicare UPIN