Basic Information
| Provider Information | |||||||||
| NPI: | 1518567353 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EWERE | ||||||||
| FirstName: | AARON | ||||||||
| MiddleName: | EBE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 17410 BROWNING TRACE LN | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774072659 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8328148415 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8785 W BELLFORT ST | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770312403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137712292 | ||||||||
| FaxNumber: | 7137712294 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/30/2020 | ||||||||
| LastUpdateDate: | 10/30/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 1018330 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.