Individual
JACQUELINE AYOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 BURNET RD STE A, AUSTIN, TX 78756-3317
(512) 980-0590
(512) 598-5306
Mailing address
1602 EDGEWOOD AVE, AUSTIN, TX 78722
(512) 980-0590
(512) 598-5306
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82549
TX
133V00000X
Registered Dietitian
DT8259
TX
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT82549
LD LICENSE
TX
Enumeration date
06/17/2014
Last updated
06/27/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us