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NPI Code Detail

MEDICARE: NASSER AYYAD D.O.

MEDICARE: NASSER AYYAD D.O.
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
1208100000XPhysical Medicine & Rehabilitation Physician315270-01NY
2208100000XPhysical Medicine & Rehabilitation PhysicianS1977TX

General Provider Information

NPI Number : 1992123947
Entity Type Code : Individual
Provider Name (Legal Business Name) : NASSER AYYAD D.O.
Provider Business Mailing Address
First Line : 850 CENTRAL PKWY E STE 275
Second Line :
City : PLANO
State : TX
Zip : 75074-5542
Country : US
Telephone Number : 972-881-4688
Fax Number :
Provider Business Practice Location Address
First Line : 850 CENTRAL PKWY E STE 275
Second Line :
City : PLANO
State : TX
Zip : 75074-5542
Country : US
Telephone Number : 972-881-4688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2014
Last Update Date : 12/13/2024

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Directions to “ NASSER AYYAD D.O.” Practice Location

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