Organization
RAFAEL A. AVILA M.D. P.A.
Active
Other names
Avila Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AZALIA M AVILA (OFFICE MANAGER)
(956) 519-1332
Entity
Organization
Contact information
Practice address
1022 E GRIFFIN PKWY, SUITE 110, MISSION, TX 78572-2400
(956) 519-1332
(956) 519-3515
Mailing address
1022 E GRIFFIN PKWY, STE 110, MISSION, TX 78572-2400
(956) 519-1332
(956) 519-3515
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
K5785
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089960102
—
TX
Enumeration date
05/16/2007
Last updated
02/27/2013
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