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Individual

TANIA AYALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
1201 S MAIN ST, FORT WORTH, TX 76104-4804
(817) 702-6500
Mailing address
200 W MAGNOLIA AVE STE 201, FT WORTH, TX 76104-7657
(181) 770-2110
(817) 702-2140

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1133306
TX

Other

Enumeration date
08/24/2023
Last updated
10/04/2023
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