Individual
DR. CARL H AEBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1224 3RD ST, STE 7, CORPUS CHRISTI, TX 78404-2354
(361) 883-6998
(361) 883-1846
Mailing address
1224 3RD ST, STE 7, CORPUS CHRISTI, TX 78404-2354
(361) 883-6998
(361) 883-1846
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0495
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000840101
—
TX
01
—
00R248
MEDICARE PTAN
TX
01
—
4198883
AETNA
TX
01
—
480539965
TRICARE HUMANA MILITARY
TX
Enumeration date
06/21/2005
Last updated
06/04/2012
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