Organization
BICENTENNIAL KIDS CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIPE M. AVILA MD (OWNER)
(956) 968-0103
Entity
Organization
Contact information
Practice address
400 S BICENTENNIAL BLVD, MCALLEN, TX 78501-5199
(956) 668-1060
(956) 968-0103
Mailing address
1408 E 8TH ST, WESLACO, TX 78596-6639
(956) 968-0103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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