Healthcare Provider Details

I. General information

NPI: 1508182668
Provider Name (Legal Business Name): GAYLE YVONNE AYERS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2010
Last Update Date: 12/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 W 38TH ST SUITE 700
AUSTIN TX
78705-1000
US

IV. Provider business mailing address

1301 W 38TH ST SUITE 700
AUSTIN TX
78705-1000
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-3380
  • Fax: 512-324-3379
Mailing address:
  • Phone: 512-324-3380
  • Fax: 512-324-3379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number53260
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberP6133
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: