Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 12944 | TX |
Y | 111NN0400X | Neurology | CH12342 | FL |
NPI | 1740660026 |
---|---|
Provider Name | Dr. Aaron Gajeske |
First Address | Houston, TX 77282-0509 |
Second Address | Port St Lucie, FL 34952 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2015 |
Last Update Date | 12/07/2019 |