Ayala, Gustavo Enrique
Ayala, Gustavo Enrique is an individual health care provider with primary practice located at 6411 Fannin Street , Houston TX 77030-1501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ayala, Gustavo Enrique can be contacted via phone (713) 704-4000.Contact Information
Primary practice address
6411 Fannin Street
Houston TX 77030-1501
Phone: (713) 704-4000
Fax: (713) 704-2658
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | K7501 | Texas |
Profile Details
NPI number | 1992709356 |
---|---|
LBN Legal business name | Ayala, Gustavo Enrique |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2005 |
Last updated | Nov 2nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992709356 | NPPES |
Texas | Other | 220033092 | RAILROAD MEDICARE |
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