Individual
RAVEN SHELBY AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 ARKANSAS BLVD, TEXARKANA, AR 71854-1963
(870) 772-9355
(870) 772-9360
Mailing address
3515 RICHMOND RD, TEXARKANA, TX 75503-0711
(903) 791-9355
(903) 793-0496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-759
AR
Other
Enumeration date
01/12/2018
Last updated
12/27/2024
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