Provider Demographics
NPI:1558705269
Name:MARTIN, AARON GORDON (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:GORDON
Last Name:MARTIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5072 W PLANO PKWY
Mailing Address - Street 2:STE 130
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4474
Mailing Address - Country:US
Mailing Address - Phone:972-200-5009
Mailing Address - Fax:972-248-9292
Practice Address - Street 1:5959 ROYAL LN
Practice Address - Street 2:SUITE 663
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-3856
Practice Address - Country:US
Practice Address - Phone:214-369-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12256111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor