Individual
JUAN HOMERO DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 W UNIVERSITY DR, EDINBURG, TX 78539-3242
(956) 383-0714
Mailing address
1201 W UNIVERSITY DR, EDINBURG, TX 78539-2909
(956) 665-7049
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA18321
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2022
Last updated
11/20/2024
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