Provider Demographics
NPI:1306046156
Name:GEROW, AISLIN M (DC)
Entity Type:Individual
Prefix:DR
First Name:AISLIN
Middle Name:M
Last Name:GEROW
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CANDACE
Other - Middle Name:M
Other - Last Name:GEROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:501 TROPHY LAKE DR STE 322
Mailing Address - Street 2:
Mailing Address - City:TROPHY CLUB
Mailing Address - State:TX
Mailing Address - Zip Code:76262-5239
Mailing Address - Country:US
Mailing Address - Phone:817-430-0000
Mailing Address - Fax:817-490-5138
Practice Address - Street 1:501 TROPHY LAKE DR STE 322
Practice Address - Street 2:
Practice Address - City:TROPHY CLUB
Practice Address - State:TX
Practice Address - Zip Code:76262-5239
Practice Address - Country:US
Practice Address - Phone:817-430-0000
Practice Address - Fax:817-490-5138
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10573111N00000X
TX599593163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB113369OtherPTAN
TXTXB113369Medicare UPIN
TXTXB113369Medicare PIN