Provider Demographics
NPI:1174313605
Name:ARUN, TESSA THOMAS
Entity type:Individual
Prefix:
First Name:TESSA
Middle Name:THOMAS
Last Name:ARUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3681 LINDELL BLVD APT 112
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-3355
Mailing Address - Country:US
Mailing Address - Phone:727-666-4831
Mailing Address - Fax:
Practice Address - Street 1:1668 BELLROSE DR N
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-2308
Practice Address - Country:US
Practice Address - Phone:727-666-4831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program