Individual
MACY AYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2990 N BROADWAY AVE, TYLER, TX 75702-2149
(903) 535-9041
(903) 592-3886
Mailing address
523 S FANNIN AVE, TYLER, TX 75702-8204
(903) 535-9041
(903) 531-9490
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP142764
TX
Other
Enumeration date
08/16/2019
Last updated
06/06/2025
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