Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | S2223 | TX |
Y | 207Q00000X | Family Doctor | S2223 | TX |
N | 208D00000X | General Practice Physician | 02004111A | IN |
N | 208D00000X | General Practice Physician | E-10081 | AR |
NPI | 1578856639 |
---|---|
Provider Name | Dr. James Scott Aston |
First Address | Fort Worth, TX 76107-2553 |
Second Address | Fort Worth, TX 76107-2553 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2011 |
Last Update Date | 12/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
215370795 | (05) | AR |