Individual
LISA MARLEN DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 S AIRPORT DR, WESLACO, TX 78596-6617
(956) 968-8502
Mailing address
216 HUERTA ST, WESLACO, TX 78596-2033
(956) 472-1096
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2121547
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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