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:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114960663 | NPPES |
| Texas | Other | 8X6220 | BCBS PROVIDER# |
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