Individual
ALEX WADE AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-5220
(903) 614-1000
Mailing address
449 W HIGHWAY 70 B, DE QUEEN, AR 71832-2928
(870) 784-2367
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA11865
TX
363A00000X
Physician Assistant
Primary
PA11865
TX
Other
Enumeration date
01/30/2018
Last updated
09/17/2019
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