Provider Demographics
NPI:1932633161
Name:AYHT INC
Entity type:Organization
Organization Name:AYHT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP/PIC
Authorized Official - Prefix:
Authorized Official - First Name:ALIASGHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ESMAILJI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:972-345-8565
Mailing Address - Street 1:4388 W GREEN OAKS BLVD
Mailing Address - Street 2:#110
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-4496
Mailing Address - Country:US
Mailing Address - Phone:817-380-3030
Mailing Address - Fax:817-476-6766
Practice Address - Street 1:4388 W GREEN OAKS BLVD
Practice Address - Street 2:#110
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-4496
Practice Address - Country:US
Practice Address - Phone:817-380-3030
Practice Address - Fax:817-476-6766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-13
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0004X, 333600000X
TX314323336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2169046OtherPK
TX149653Medicaid