Provider Demographics
NPI:1437579364
Name:AYVACI, EMINE RABIA (MD)
Entity Type:Individual
Prefix:
First Name:EMINE
Middle Name:RABIA
Last Name:AYVACI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EMINE
Other - Middle Name:RABIA
Other - Last Name:OZAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5347
Mailing Address - Country:US
Mailing Address - Phone:214-645-0624
Mailing Address - Fax:214-645-0078
Practice Address - Street 1:5200 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235
Practice Address - Country:US
Practice Address - Phone:469-419-9606
Practice Address - Fax:214-648-9627
Is Sole Proprietor?:No
Enumeration Date:2014-04-18
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXR69662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program