MEDICARE: AIMEE TOLAR

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	247200000X	Other Technician

General Provider Information

NPI Number	:	1093687295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE TOLAR

Provider Business Mailing Address
First Line	:	7346 BRAES COR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244-2287
Country	:	US
Telephone Number	:	830-837-3754
Fax Number	:

Provider Business Practice Location Address
First Line	:	11979 STARCREST DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-4112
Country	:	US
Telephone Number	:	210-870-5606
Fax Number	:

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

Provider Enumeration Date	:	09/18/2025
Last Update Date	:	09/18/2025

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Directions to “ AIMEE TOLAR ” Practice Location

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