Provider Demographics
NPI:1598431470
Name:ALTERMAN, AARON J
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:J
Last Name:ALTERMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 BOLAND ST # 210
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-1263
Mailing Address - Country:US
Mailing Address - Phone:817-529-8485
Mailing Address - Fax:469-453-5075
Practice Address - Street 1:111 BOLAND ST # 210
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-1263
Practice Address - Country:US
Practice Address - Phone:817-529-8485
Practice Address - Fax:469-453-5075
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
Provider Identifiers
StateIdentifier IDID TypeIssuer
1111111111OtherNOTAPPLICABLE