1881631125 NPI number — AARON L. CERNERO, DO, PA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881631125 NPI number — AARON L. CERNERO, DO, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AARON L. CERNERO, DO, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881631125
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/05/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2639
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SHERMAN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75091-2639
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
903-462-4247
Provider Business Mailing Address Fax Number:
903-462-4248

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5012 S US HIGHWAY 75
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
DENISON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75020-4587
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-462-4247
Provider Business Practice Location Address Fax Number:
888-212-0812
Provider Enumeration Date:
06/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CERNERO
Authorized Official First Name:
AARON
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
903-462-4247

Provider Taxonomy Codes

  • Taxonomy code: 208600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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