Individual
MR. JOE AYALA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT FNP, BSN, RN
Contact information
Practice address
3535 S. ALAMEDA ST, CORPUS CHRISTI, TX 78410-7841
(361) 694-4245
(361) 694-6816
Mailing address
7522 FORT GRIFFEN DR, CORPUS CHRISTI, TX 78414-5763
(361) 563-7378
Taxonomy
Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
736583
TX
363L00000X
Nurse Practitioner
Primary
1055526
TX
Other
Enumeration date
06/17/2021
Last updated
01/11/2022
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