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Organization
WILFREDO AVILES, MD P.A.
Active
Organization
WILFREDO AVILES, MD P.A.
Active
Other names
Mid Valley Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILFREDO A AVILES M.D. (MEDICAL SUPERVISOR)
(956) 968-3111
Entity
Organization
Contact information
Practice address
1313 E 6TH ST, WESLACO, TX 78596-6601
(956) 968-3111
(956) 968-1113
Mailing address
1313 E 6TH ST, WESLACO, TX 78596-6601
(956) 968-3111
(956) 968-1113
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127150406
—
TX
Enumeration date
01/26/2007
Last updated
02/13/2020
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