Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | P6226 | TX |
NPI | 1013179977 |
---|---|
Provider Name | Dr. Aaron Robert New |
First Address | Victoria, TX 77901-5775 |
Second Address | Victoria, TX 77901-5775 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2008 |
Last Update Date | 13/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0069YK | BCBS (01) | TX |