Healthcare Provider Details

I. General information

NPI: 1366652315
Provider Name (Legal Business Name): AARON B STIKE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2706 W CUTHBERT AVE STE C
MIDLAND TX
79701-3887
US

IV. Provider business mailing address

PO BOX 5291
MIDLAND TX
79704-5291
US

V. Phone/Fax

Practice location:
  • Phone: 432-687-0311
  • Fax: 432-687-0312
Mailing address:
  • Phone: 432-221-4243
  • Fax: 432-221-5981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberN8858
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: