Individual
AIYA CHRISTINA WOMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2901 4TH ST, LONGVIEW, TX 75605-5128
(903) 758-1818
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0001
(972) 518-2100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102817
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
1089179
TX
Other
Enumeration date
01/27/2022
Last updated
04/18/2023
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