SearchTexas133V00000X

Jacqueline Ayoub

NPI 1285048272 · on the registry since 2014

Practice

Address
4301 Burnet Rd Ste A
Austin, TX 78756
Phone
(512) 980-0590
Fax
(512) 598-5306
Organisation at this address
Mindful Fork Nutrition Llc
Primary Physicians Of Austin, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Additional practice sites

  • 5900 Balcones Dr Ste 165, Austin, TX
  • 1602 Edgewood Ave, Austin, TX

Registry record

Primary taxonomy
133V00000X
133V00000X
Also registered as
133V00000X
133V00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas