Provider Demographics
NPI:1801156070
Name:JURKIS, AARON ANDREW (CP, LP, BOCP)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:ANDREW
Last Name:JURKIS
Suffix:
Gender:M
Credentials:CP, LP, BOCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-3508
Mailing Address - Country:US
Mailing Address - Phone:325-676-8527
Mailing Address - Fax:325-676-1840
Practice Address - Street 1:1202 HICKORY ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-3508
Practice Address - Country:US
Practice Address - Phone:325-676-8527
Practice Address - Fax:325-676-1840
Is Sole Proprietor?:No
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1310224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist