Individual
MARTHA AVILA-ADAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1013 S WELLS ST, EDNA, TX 77957-4045
(361) 782-7800
Mailing address
102 CONTENTO ST, VICTORIA, TX 77905-0688
(361) 550-4332
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
634634
TX
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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