# AYO HEALTHCARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528573755
- **Authorized official:** ELIZABETH UKIRI (SOLE MEMBER)
- **Authorized official phone:** (214) 500-9844

## Contact information

- **Practice address:** 5350 RIVERPORT DR, MESQUITE, TX 75150-1218
- **Practice address phone:** (214) 500-9844
- **Mailing address:** 5350 RIVERPORT DR, MESQUITE, TX 75150-1218
- **Mailing address phone:** (214) 500-9844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0600X | Gerontology Registered Nurse | AP135045 | TX | Yes |

## Other

- **Enumeration date:** 12/11/2017
- **Last updated:** 12/11/2017