Healthcare Provider Details

I. General information

NPI: 1336236850
Provider Name (Legal Business Name): PATRICIA ANNE ARONIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 11/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 BARBARA JORDAN BLVD STE 307
AUSTIN TX
78723-3080
US

IV. Provider business mailing address

1301 BARBARA JORDAN BLVD STE 307
AUSTIN TX
78723-3080
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-0907
  • Fax: 512-324-0642
Mailing address:
  • Phone: 512-324-0907
  • Fax: 512-324-0642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberK3069
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: