Provider Demographics
NPI:1730344227
Name:WINNING, AARON MICHAEL (LAC)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:MICHAEL
Last Name:WINNING
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 S CONGRESS AVE STE B250
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-2435
Mailing Address - Country:US
Mailing Address - Phone:512-448-3321
Mailing Address - Fax:
Practice Address - Street 1:1400 S CONGRESS AVE STE B250
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-2435
Practice Address - Country:US
Practice Address - Phone:512-448-3321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01052171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist