Provider Demographics
NPI:1770971012
Name:AARON J BOONE DO
Entity type:Organization
Organization Name:AARON J BOONE DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BOONE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:940-736-0212
Mailing Address - Street 1:9628 BARTLETT CIR
Mailing Address - Street 2:SUITE 380
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76108-4446
Mailing Address - Country:US
Mailing Address - Phone:817-240-2343
Mailing Address - Fax:817-945-1038
Practice Address - Street 1:9628 BARTLETT CIR
Practice Address - Street 2:SUITE 380
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76108-4446
Practice Address - Country:US
Practice Address - Phone:817-240-2343
Practice Address - Fax:817-945-1038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP8218261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty