Individual
NORMA IRENE AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7460 KITTY HAWK RD SITE 430, CONVERSE, TX 78109
(956) 489-3332
Mailing address
7460 KITTY HAWK RD SITE 430, CONVERSE, TX 78109
(956) 489-3332
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
02196780
TX
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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