Individual
MR. ESTEBAN RICARDO AYALA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2337 ENDEAVOR, LAREDO, TX 78041-1970
(956) 726-4929
(956) 724-6242
Mailing address
2337 ENDEAVOR, LAREDO, TX 78041-1970
(956) 726-4929
(956) 724-6242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10722
TX
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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