Individual
COURTNEY AVRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3900 NE STALLINGS DR STE 101, NACOGDOCHES, TX 75965-2111
(936) 559-8770
(936) 559-8773
Mailing address
3900 NE STALLINGS DR STE 101, NACOGDOCHES, TX 75965-2111
(936) 559-8770
(936) 559-8773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15238
TX
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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