Healthcare Provider Details

I. General information

NPI: 1841799863
Provider Name (Legal Business Name): AARON R MCCALL ATP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2018
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11979 STARCREST DR
SAN ANTONIO TX
78247-4112
US

IV. Provider business mailing address

11635 DENSE STAR
SAN ANTONIO TX
78245-3397
US

V. Phone/Fax

Practice location:
  • Phone: 210-696-1084
  • Fax: 210-696-1085
Mailing address:
  • Phone: 210-884-3734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225CA2400X
TaxonomyAssistive Technology Practitioner Rehabilitation Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: