Provider Demographics
NPI:1558192625
Name:AKESIS SPINE AND PAIN INTERVENTION
Entity type:Organization
Organization Name:AKESIS SPINE AND PAIN INTERVENTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:HELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-234-8488
Mailing Address - Street 1:PO BOX 630092
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75963-0092
Mailing Address - Country:US
Mailing Address - Phone:936-234-8488
Mailing Address - Fax:936-234-8482
Practice Address - Street 1:3226 N UNIVERSITY DR STE 300
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-3800
Practice Address - Country:US
Practice Address - Phone:936-234-8488
Practice Address - Fax:936-234-8482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty