Organization
AYO HEALTHCARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH UKIRI (SOLE MEMBER)
(214) 500-9844
Entity
Organization
Contact information
Practice address
5350 RIVERPORT DR, MESQUITE, TX 75150-1218
(214) 500-9844
Mailing address
5350 RIVERPORT DR, MESQUITE, TX 75150-1218
(214) 500-9844
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
AP135045
TX
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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