Individual
ALEJANDRA C AYESTARAN CASSANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2141 HAMILTON WAY, STE 100, SAN ANGELO, TX 76904-6831
(325) 245-4301
(325) 245-4034
Mailing address
2141 HAMILTON WAY, STE 100, SAN ANGELO, TX 76904-6831
(325) 245-4301
(325) 245-4034
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N7213
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283015001
—
TX
Enumeration date
08/12/2010
Last updated
10/31/2011
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