Individual
JESUS AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6043 W INTERSTATE 20, ARLINGTON, TX 76017-1042
(817) 533-0825
Mailing address
6043 W INTERSTATE 20, ARLINGTON, TX 76017-1042
(817) 533-0825
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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