Basic Information
Provider Information
NPI: 1346773520
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AREL
FirstName: AARON
MiddleName: TODD
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1004 WEST 32ND STREET
Address2: SUITE 200
City: AUSTIN
State: TX
PostalCode: 78705
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1004 WEST 32ND STREET
Address2: SUITE 200
City: AUSTIN
State: TX
PostalCode: 78705
CountryCode: US
TelephoneNumber: 5123243580
FaxNumber: 5123243581
Other Information
ProviderEnumerationDate: 04/05/2017
LastUpdateDate: 04/18/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/18/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208100000XT1637TXY Allopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 

No ID Information.


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