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Individual

MOHAMAD-AMMAR F AYASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3021 GREEN MEADOW DR, SAN ANGELO, TX 76904-6975
(325) 223-1800
(325) 223-1810
Mailing address
8501 WADE BLVD STE 750, FRISCO, TX 75034-6437
(972) 668-6005
(972) 635-4440

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
L2116
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0027LW
BCBS GROUP #
TX
05
145403503
TX
05
168067001
TX
01
8P5490
BC/BS PIN
TX
Enumeration date
06/03/2006
Last updated
11/17/2025
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