Doctor Name: | MAX EVANS AYER |
NPI Number: | 1952412280 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | D-2748 |
Business Practice Address: | 218 South Palestine Athens, TX - 75751 |
Business Phone Number: | 9036772664 |
Business Fax Number: | |
Mailing Address: | 12 Guadalupe Drive, ATHENS |
State: | TX |
Postal Code: | 75751 |
Phone Number: | 9036772276 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D-2748 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |