Provider Demographics
NPI:1013046788
Name:AARON K JOSEPH MD PA
Entity Type:Organization
Organization Name:AARON K JOSEPH MD PA
Other - Org Name:SKIN AND LASER SURGERY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:K
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-991-0737
Mailing Address - Street 1:PO BOX 5158
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77508-5158
Mailing Address - Country:US
Mailing Address - Phone:281-991-0737
Mailing Address - Fax:281-991-0738
Practice Address - Street 1:5125 PRESTON AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-2055
Practice Address - Country:US
Practice Address - Phone:281-991-0737
Practice Address - Fax:281-991-0738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6512207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX159550601Medicaid
TX159550601Medicaid
G49452Medicare UPIN