Provider Demographics
NPI:1457588212
Name:KILLPACK, AARON L (DO)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:L
Last Name:KILLPACK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:430 W SUNSET RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1772
Mailing Address - Country:US
Mailing Address - Phone:210-824-4584
Mailing Address - Fax:210-826-3331
Practice Address - Street 1:430 W SUNSET RD STE 201
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1772
Practice Address - Country:US
Practice Address - Phone:210-824-4584
Practice Address - Fax:210-826-3331
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOT012982207Q00000X
WY10717A207Q00000X
TXU2716207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine