Basic Information
| Provider Information | |||||||||
| NPI: | 1366860991 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HELLER | ||||||||
| FirstName: | AARON | ||||||||
| MiddleName: | |||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 116 CHRISTIE DR | ||||||||
| Address2: | |||||||||
| City: | LUFKIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 759045534 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9362491866 | ||||||||
| FaxNumber: | 8169322843 | ||||||||
| Practice Location | |||||||||
| Address1: | 116 CHRISTIE DR | ||||||||
| Address2: | |||||||||
| City: | LUFKIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 759045534 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9362491866 | ||||||||
| FaxNumber: | 9032464296 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/01/2014 | ||||||||
| LastUpdateDate: | 07/05/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | S2329 | TX | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 207L00000X | S2329 | TX | N | Allopathic & Osteopathic Physicians | Anesthesiology | 208VP0014X | S2329 | TX | Y | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
No ID Information.