Organization
CELESTINO Z. AVILA, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEL CARRILLO (BILLING MANAGER)
(956) 973-9009
Entity
Organization
Contact information
Practice address
308 N SALINAS BLVD, DONNA, TX 78537-2930
(956) 464-4497
Mailing address
308 N SALINAS BLVD, DONNA, TX 78537-2930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F1352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FF71
MEDICARE
TX
01
—
B21022
UPIN
TX
Enumeration date
11/23/2007
Last updated
11/23/2007
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