Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 208769 | MA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | P4845 | TX |
NPI | 1881688174 |
---|---|
Provider Name | Dr. Carlos Ayala |
First Address | Mcallen, TX 78504-2262 |
Second Address | Mcallen, TX 78504-2262 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2005 |
Last Update Date | 21/04/2015 |