Individual
CHARLES AYENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240
(972) 715-5000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(973) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR13628600
NJ
367500000X
Certified Registered Nurse Anesthetist
26NJ00488400
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
AP141136
TX
Other
Enumeration date
02/12/2014
Last updated
11/04/2019
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