Individual
MRS. EMILY AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5917 BELT LINE ROAD, DALLAS, TX 75254
(972) 726-6464
Mailing address
4107 ADMIRALITY WAY, IRVING, TX 75061
(469) 995-9460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06295
TX
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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