Provider Demographics
NPI:1790970184
Name:SIKES, AARON PATRICK
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:PATRICK
Last Name:SIKES
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 1:327 CORAL SEA RD.
Mailing Address - Street 2:MCM CREW EXULTANT
Mailing Address - City:INGLESIDE
Mailing Address - State:TX
Mailing Address - Zip Code:78362
Mailing Address - Country:US
Mailing Address - Phone:361-385-0103
Mailing Address - Fax:
Practice Address - Street 1:327 CORAL SEA RD
Practice Address - Street 2:
Practice Address - City:INGLESIDE
Practice Address - State:TX
Practice Address - Zip Code:78362-5055
Practice Address - Country:US
Practice Address - Phone:361-385-0103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman