Individual
ANYSSA IRENE AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1217 W HOUSTON AVE, MCALLEN, TX 78501-5012
(956) 631-9171
Mailing address
1217 W. HOUSTON AVE, MCALLEN, TX 78501-5012
(956) 631-9171
(956) 631-7566
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359275002
—
TX
Enumeration date
06/22/2015
Last updated
12/14/2023
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