Individual
DR. NATHANIEL P AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17183 INTERSTATE 45 S STE 640, SHENANDOAH, TX 77385-3316
(936) 270-3880
Mailing address
2181 TROON RD, HOUSTON, TX 77019-1511
(281) 728-3017
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
MD-50847
IA
207RG0100X
Gastroenterology Physician
Primary
S2225
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2013
Last updated
02/04/2024
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