Organization
ABILENE ADVANCED EYECARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL AVILA O.D. (OPTOMETRIST/OWNER)
(325) 692-9596
Entity
Organization
Contact information
Practice address
4734 S 14TH, ABILENE, TX 79605-4733
(325) 692-9596
(325) 690-6191
Mailing address
4734 SOUTH 14TH, ABILENE, TX 79605-4733
(325) 692-9596
(325) 690-6191
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TX6293TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U91992
PROVIDER UPIN
TX
Enumeration date
01/03/2008
Last updated
02/15/2008
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