Individual
PEDRO AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20631 KUYKENDAHL RD, SUITE 100, SPRING, TX 77379-3318
(281) 453-1001
(281) 803-5515
Mailing address
20631 KUYKENDAHL RD, SUITE 100, SPRING, TX 77379-3318
(281) 453-1001
(281) 803-5515
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
Q6305
TX
207KA0200X
Allergy Physician
036114428
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q6305
TEXAS MEDICAL LICENSE
TX
Enumeration date
01/31/2006
Last updated
12/22/2015
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