Organization
AVILA PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO AVILA (OWNER)
(361) 500-6686
Entity
Organization
Contact information
Practice address
1726 BRAESWOOD DR, CORPUS CHRISTI, TX 78412-4584
(361) 500-6686
Mailing address
1726 BRAESWOOD DR, CORPUS CHRISTI, TX 78412-4584
(361) 500-6686
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
677470000
TX
Other
Enumeration date
02/13/2015
Last updated
01/04/2022
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