Healthcare Provider Details

I. General information

NPI: 1205753696
Provider Name (Legal Business Name): MAHGEN AYLING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10850 TEXAN RIDER DR
CROWLEY TX
76036-9414
US

IV. Provider business mailing address

2119 BURKE D
PRINCETON TX
75407
US

V. Phone/Fax

Practice location:
  • Phone: 254-968-9000
  • Fax:
Mailing address:
  • Phone: 214-440-7452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: