Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | P2509 | TX |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | P2509 | TX |
NPI | 1205917614 |
---|---|
Provider Name | Dr. Aaron Tanner Poole |
First Address | El Paso, TX 79925-7618 |
Second Address | El Paso, TX 79925-7618 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 30/04/2021 |