Basic Information
| Provider Information | |||||||||
| NPI: | 1043297856 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LLOYD | ||||||||
| FirstName: | AARON | ||||||||
| MiddleName: | THOMAS | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 911230 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 753911230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9729978000 | ||||||||
| FaxNumber: | 9722340813 | ||||||||
| Practice Location | |||||||||
| Address1: | 10425 N CENTRAL EXPY | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752312208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143612025 | ||||||||
| FaxNumber: | 2143612028 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/22/2005 | ||||||||
| LastUpdateDate: | 06/28/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | K4130 | TX | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207LP2900X | K4130 | TX | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 2084P2900X | K4130 | TX | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Pain Medicine | 208VP0014X | K4130 | TX | N | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | 2081P2900X | K4130 | TX | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine |
ID Information
| ID | Type | State | Issuer | Description | 050088789 | 01 | TX | RAILROAD | OTHER | 113738204 | 05 | TX | MEDICAID | 8G7050 | 01 | TX | BCBS | OTHER | 113738207 | 05 | TX | MEDICAID | 113738206 | 05 | TX | MEDICAID |