Individual
SALAH AYACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
301 UNIVERSITY BLVD, PROVIDER ENROLLMENT -- RT. 1022, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, PROVIDER ENROLLMENT -- RT. 1022, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00459
TX
Other
Enumeration date
07/01/2006
Last updated
05/18/2009
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