Provider Demographics
NPI:1154466837
Name:STEPHEN, AARON L (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:L
Last Name:STEPHEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:605 W MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:GUN BARREL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75156-5437
Mailing Address - Country:US
Mailing Address - Phone:903-887-3612
Mailing Address - Fax:903-887-5466
Practice Address - Street 1:605 W MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:GUN BARREL CITY
Practice Address - State:TX
Practice Address - Zip Code:75156-5437
Practice Address - Country:US
Practice Address - Phone:903-887-3612
Practice Address - Fax:903-887-5466
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10529111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor