Organization
AARON K CALODNEY M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON K CALODNEY M.D. (PRESIDENT)
(903) 531-2500
Entity
Organization
Contact information
Practice address
1814 ROSELAND BLVD, #200, TYLER, TX 75701-4234
(903) 531-2500
(903) 595-3785
Mailing address
PO BOX 130459, TYLER, TX 75713-0459
(903) 531-2500
(903) 595-3785
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021KV
BLUE CROSS BLUE SHIELD
—
05
—
170067601
—
TX
Enumeration date
09/02/2006
Last updated
04/23/2012
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