Provider Demographics
NPI:1164592804
Name:AIKMAN, HARVEY D (PT DPMDT)
Entity Type:Individual
Prefix:MR
First Name:HARVEY
Middle Name:D
Last Name:AIKMAN
Suffix:
Gender:M
Credentials:PT DPMDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 N 10TH STREET
Mailing Address - Street 2:STE D2
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504
Mailing Address - Country:US
Mailing Address - Phone:956-682-6778
Mailing Address - Fax:956-682-6998
Practice Address - Street 1:4900 N 10TH STREET
Practice Address - Street 2:STE D2
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-682-6778
Practice Address - Fax:956-682-6998
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104450225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5478221OtherAETNA
TX81528TOtherBCBS
TX650367OtherBCBS
TX81528TOtherBCBS