MEDICARE: FIDEL EL-AYA PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant
2	207P00000X	Emergency Medicine Physician	758004	TX
3	363A00000X	Physician Assistant	PA16571	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801500566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FIDEL EL-AYA PA

Provider Business Mailing Address
First Line	:	176 OVERLOOK DR
Second Line	:
City	:	SUNNYVALE
State	:	TX
Zip	:	75182-4608
Country	:	US
Telephone Number	:	469-867-2165
Fax Number	:

Provider Business Practice Location Address
First Line	:	7777 FOREST LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2571
Country	:	US
Telephone Number	:	972-566-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2023
Last Update Date	:	06/04/2026

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Directions to “ FIDEL EL-AYA PA” Practice Location

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