Provider Demographics
NPI:1831169788
Name:WESP, AARON G (MD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:G
Last Name:WESP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7551 YOUREE DR STE 11
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-5533
Mailing Address - Country:US
Mailing Address - Phone:318-642-9282
Mailing Address - Fax:833-749-0340
Practice Address - Street 1:17347 VILLAGE GREEN DR STE 106
Practice Address - Street 2:
Practice Address - City:JERSEY VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:77040-1163
Practice Address - Country:US
Practice Address - Phone:713-466-0197
Practice Address - Fax:713-849-3424
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2023-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036088883207R00000X
LA306344207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036088883Medicaid
IL208627012Medicare PIN