Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | M3695 | TX |
NPI | 1013929728 |
---|---|
Provider Name | Aaron Pittard |
First Address | San Antonio, TX 78233 |
Second Address | San Antonio, TX 78233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 16/07/2007 |