Provider Demographics
NPI:1235283375
Name:AYALA, CYNTHIA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:MARIE
Last Name:AYALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5815 GULF FWY STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-5362
Mailing Address - Country:US
Mailing Address - Phone:713-643-0012
Mailing Address - Fax:713-643-5808
Practice Address - Street 1:5815 GULF FWY STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-5362
Practice Address - Country:US
Practice Address - Phone:713-643-0012
Practice Address - Fax:713-643-5808
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2024-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK9018207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L0778Medicare PIN