Individual provider · NPI-1
Robert Charles Ayres II, RN
Clinical Nurse Specialist, Perioperative · Converse, TX
NPI number1184410128
StatusActive
Last updated in NPPESApr 16, 2025
Details
- NPI
- 1184410128
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Charles Ayres II
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2025
- Certification date
- Apr 7, 2025
- Last updated
- Apr 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SP2800X | Clinical Nurse Specialist, Perioperative | 867288 | TX | Yes |
Practice location
8307 Northaven DrConverse, TX 78109-3227
Phone 210-367-5974
Mailing address
8307 Northaven DrConverse, TX 78109-3227
Phone 210-367-5974
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