MEDICARE: MR. AARON EDGAR JAMES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	126900000X	Dental Laboratory Technician

General Provider Information

NPI Number	:	1154107852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AARON EDGAR JAMES

Provider Business Mailing Address
First Line	:	1438 CAMPBELL RD
Second Line	:	STE 205
City	:	HOUSTON
State	:	TX
Zip	:	77055-4759
Country	:	US
Telephone Number	:	281-589-6792
Fax Number	:

Provider Business Practice Location Address
First Line	:	1438 CAMPBELL RD
Second Line	:	STE 205
City	:	HOUSTON
State	:	TX
Zip	:	77055-4759
Country	:	US
Telephone Number	:	281-589-6792
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2023
Last Update Date	:	09/07/2023

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Directions to “ MR. AARON EDGAR JAMES ” Practice Location

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