# RAFAEL A. AVILA M.D. P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avila Plastic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407063175
- **Authorized official:** MRS. AZALIA M AVILA (OFFICE MANAGER)
- **Authorized official phone:** (956) 519-1332

## Contact information

- **Practice address:** 1022 E GRIFFIN PKWY, SUITE 110, MISSION, TX 78572-2400
- **Practice address phone:** (956) 519-1332
- **Practice address fax:** (956) 519-3515
- **Mailing address:** 1022 E GRIFFIN PKWY, STE 110, MISSION, TX 78572-2400
- **Mailing address phone:** (956) 519-1332
- **Mailing address fax:** (956) 519-3515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | K5785 | TX | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 02/27/2013