Individual
EMMANUEL AYIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5282 MEDICAL DR STE 605, SAN ANTONIO, TX 78229-6114
(210) 447-7373
Mailing address
10506 BRICEWAY FALL, SAN ANTONIO, TX 78254-4739
(910) 265-1999
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1159265
TX
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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