Individual
FIDEL EL-AYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2571
(972) 566-7000
Mailing address
176 OVERLOOK DR, SUNNYVALE, TX 75182-4608
(469) 867-2165
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
758004
TX
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758004
—
TX
Enumeration date
01/09/2023
Last updated
07/19/2023
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