Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD2015-0298 | NM |
N | 111NI0900X | Internist | MD2015-0298 | NM |
Y | 207SG0201X | Clinical Genetics (M.D.) | S3790 | TX |
NPI | 1417210170 |
---|---|
Provider Name | Dr. Houriya Ayoubieh |
First Address | Albuquerque, NM 87106-4374 |
Second Address | El Paso, TX 79911-3602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2012 |
Last Update Date | 12/05/2020 |