Healthcare Provider Details

I. General information

NPI: 1730831801
Provider Name (Legal Business Name): AARON LAWVER CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2022
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 S HOUGHTON RD
TUCSON AZ
85748-7632
US

IV. Provider business mailing address

9902 MCPHERSON RD STE 16
LAREDO TX
78045-6908
US

V. Phone/Fax

Practice location:
  • Phone: 205-436-1005
  • Fax:
Mailing address:
  • Phone: 210-413-3642
  • Fax: 855-952-2002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1063626
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: