Healthcare Provider Details

I. General information

NPI: 1235556903
Provider Name (Legal Business Name): AARON CUPIT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2014
Last Update Date: 03/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 E 9TH ST
BONHAM TX
75418-4059
US

IV. Provider business mailing address

5205 MOUNTAIN POINTE DR
MCKINNEY TX
75071-4650
US

V. Phone/Fax

Practice location:
  • Phone: 903-583-1403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number58608
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: