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Individual

MR. ROBERT CARLOS AVILA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
2355 DUNCANVILLE RD, DALLAS, TX 75211-6532
(770) 331-9925
Mailing address
2013 PARADOR BND, MCDONOUGH, GA 30253-9058
(770) 331-9925

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002748
GA
2255A2300X
Athletic Trainer
AT9102
TX

Other

Enumeration date
08/16/2015
Last updated
12/08/2022
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