Provider Demographics
NPI:1760631527
Name:GUMM, AARON WALTER (DC)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:WALTER
Last Name:GUMM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7948 DAVIS BLVD # 200
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-1903
Mailing Address - Country:US
Mailing Address - Phone:817-577-6061
Mailing Address - Fax:817-577-2345
Practice Address - Street 1:7948 DAVIS BLVD # 200
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-1903
Practice Address - Country:US
Practice Address - Phone:817-577-6061
Practice Address - Fax:817-577-2345
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10913111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor