Individual
ARA MARIE AVECILLA AYERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
1209
GA
367H00000X
Anesthesiologist Assistant
Primary
1209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339182301
—
TX
01
—
P01095323
RAILROAD MEDICARE
TX
Enumeration date
08/18/2011
Last updated
08/11/2020
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