MEDICARE: MR. AARON NELSON

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	246W00000X	Cardiology Technician

General Provider Information

NPI Number	:	1841802139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AARON NELSON

Provider Business Mailing Address
First Line	:	6028 SPRING TIME ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2452
Country	:	US
Telephone Number	:	325-374-7107
Fax Number	:

Provider Business Practice Location Address
First Line	:	6028 SPRING TIME ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2452
Country	:	US
Telephone Number	:	325-374-7107
Fax Number	:

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

Provider Enumeration Date	:	08/19/2020
Last Update Date	:	08/19/2020

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Directions to “ MR. AARON NELSON ” Practice Location

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