Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 23645 | TX |
Y | 1223D0001X | Dental Public Health | 6425031-9922 | UT |
NPI | 1336260330 |
---|---|
Provider Name | Dr. Aaron Andrew Straw |
First Address | Cypress, TX 77429-4960 |
Second Address | Houston, TX 77095-2668 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 15/06/2009 |