Ayala, Jose Mario

Ayala, Jose Mario is an individual health care provider with primary practice located at 1301 Wonder World Dr , San Marcos TX 78666-7533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ayala, Jose Mario can be contacted via phone (512) 353-8979.

Contact Information

Primary practice address
1301 Wonder World Dr San Marcos TX 78666-7533
Phone: (512) 353-8979
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M5037 Texas
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 036104962 Illinois

Profile Details

NPI number 1114960663
LBN Legal business name Ayala, Jose Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Dec 28th, 2018 - about 6 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114960663 NPPES
Texas Other 8X6220 BCBS PROVIDER#

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