Provider Demographics
NPI:1710046701
Name:SMITH, AARON DOUGLAS (DC)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:DOUGLAS
Last Name:SMITH
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 1:1603 MEDICAL PKWY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7899
Mailing Address - Country:US
Mailing Address - Phone:512-918-2225
Mailing Address - Fax:512-918-2229
Practice Address - Street 1:1464 E WHITESTONE BLVD
Practice Address - Street 2:1302
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-9058
Practice Address - Country:US
Practice Address - Phone:512-918-2225
Practice Address - Fax:512-918-2229
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10631111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F7676Medicare PIN