Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01064100A | IN |
N | 111NI0900X | Internist | 01064100A | IN |
N | 207R00000X | Internist | M7836 | TX |
N | 111NI0900X | Internist | M7836 | TX |
Y | 207RR0500X | Rheumatology | M7836 | TX |
NPI | 1093914681 |
---|---|
Provider Name | Dr. Jane Barbosa Ayala |
First Address | San Antonio, TX 78258-3371 |
Second Address | San Antonio, TX 78258-3371 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2007 |
Last Update Date | 22/09/2016 |