# MARTIN AVILES MD A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Natchitoches Women's Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679645071
- **Authorized official:** DR. MARTIN AVILES MD (OWNER PHYSICIAN)
- **Authorized official phone:** (318) 352-9595

## Contact information

- **Practice address:** 627 BIENVILLE CIR, NATCHITOCHES, LA 71457-5744
- **Practice address phone:** (318) 352-9595
- **Practice address fax:** (318) 352-9818
- **Mailing address:** 627 BIENVILLE CIR, NATCHITOCHES, LA 71457-5744
- **Mailing address phone:** (318) 352-9595
- **Mailing address fax:** (318) 352-9818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 13567R | LA | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 05/16/2013