Individual
YASIR AYAZ AYUBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-1184
(210) 292-1101
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-1184
(210) 292-1101
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
2083A0100X
Aerospace Medicine Physician
5101027782
MI
208D00000X
General Practice Physician
Primary
5101027782
MI
Other
Enumeration date
03/30/2022
Last updated
06/24/2025
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