MEDICARE: DR. AARON L. KREISLER M.D.

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	2080A0000X	Pediatric Adolescent Medicine Physician	D3304	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659377893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON L. KREISLER M.D.

Provider Business Mailing Address
First Line	:	2379 GUS THOMASSON RD
Second Line	:	STE 200
City	:	MESQUITE
State	:	TX
Zip	:	75150
Country	:	US
Telephone Number	:	972-686-6400
Fax Number	:	972-686-6391

Provider Business Practice Location Address
First Line	:	2379 GUS THOMASSON RD
Second Line	:	STE 200
City	:	MESQUITE
State	:	TX
Zip	:	75150
Country	:	US
Telephone Number	:	972-686-6400
Fax Number	:	972-686-6391

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	02/24/2011

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Directions to “ DR. AARON L. KREISLER M.D.” Practice Location

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