Provider Demographics
NPI:1841799863
Name:MCCALL, AARON R (ATP)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:R
Last Name:MCCALL
Suffix:
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11635 DENSE STAR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-3397
Mailing Address - Country:US
Mailing Address - Phone:210-884-3734
Mailing Address - Fax:
Practice Address - Street 1:8666 HUEBNER RD STE 200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1837
Practice Address - Country:US
Practice Address - Phone:210-696-1084
Practice Address - Fax:210-696-1085
Is Sole Proprietor?:No
Enumeration Date:2018-02-05
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Practitioner