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Individual
JOSE MARIO AYALA
Active
Individual
JOSE MARIO AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M5037
TX
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
036104962
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8X6220
BCBS PROVIDER#
TX
Enumeration date
06/13/2006
Last updated
12/28/2018
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