Provider Demographics
NPI:1255384137
Name:NOMPONE, LAD AARON (DC)
Entity type:Individual
Prefix:DR
First Name:LAD
Middle Name:AARON
Last Name:NOMPONE
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 1:6120 CRESTMERE LN
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-5547
Mailing Address - Country:US
Mailing Address - Phone:469-442-6797
Mailing Address - Fax:
Practice Address - Street 1:730 E PARK BLVD
Practice Address - Street 2:STE 206
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5451
Practice Address - Country:US
Practice Address - Phone:972-881-7272
Practice Address - Fax:972-516-0005
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10401111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX265844YQY7Medicare PIN