Individual
MR. ENRIQUE AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7588 PLAZA TAURINA DR, EL PASO, TX 79912-8469
(915) 471-6280
Mailing address
7588 PLAZA TAURINA DR, EL PASO, TX 79912-8469
(915) 471-6280
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
LFOD12-01206
TX
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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