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Organization

HYPERBARIC SOUTH PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE L AYALA MD (PRESIDENT)
(956) 546-3400
Entity
Organization

Contact information

Practice address
5700 N EXPRESSWAY, 305B, BROWNSVILLE, TX 78526
(956) 546-3400
(956) 546-3406
Mailing address
4935 CAMINO DEL SOL, BROWNSVILLE, TX 78526
(956) 546-3400
(956) 546-3406

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G6427
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
080672101
TX
01
86890K
PTAN
TX
Enumeration date
07/05/2006
Last updated
03/19/2012
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