Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 036113128 | IL |
N | 207X00000X | Orthopaedic Surgeon | 12659 | MT |
Y | 207X00000X | Orthopaedic Surgeon | Q0459 | TX |
NPI | 1013920248 |
---|---|
Provider Name | Aaron Gary Humphreys |
First Address | Gatesville, TX 76528-1024 |
Second Address | Gatesville, TX 76528-1024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 31/12/2015 |