Organization
ANESTHESIOLOGY PRACTICE ASSISTANCE INC
Active
Other names
Fernando T. Avila
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO T AVILA I M.D. (OWNER/PROVIDER)
(210) 212-8280
Entity
Organization
Contact information
Practice address
1017 N MAIN AVE, 1023, SAN ANTONIO, TX 78212-4723
(210) 212-8280
(210) 212-8589
Mailing address
3702 BLACKSTONE RUN, SAN ANTONIO, TX 78259-2750
(210) 223-1181
(210) 226-1268
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
2085P0229X
Pediatric Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550868135
TAX ID
TX
01
—
742609895
TAX ID
TX
Enumeration date
05/29/2013
Last updated
11/25/2013
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