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Individual

JOSE AVALOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10939 FALLING WATER, SAN ANTONIO, TX 78249-3883
(210) 831-2718
Mailing address
10939 FALLING WATER, SAN ANTONIO, TX 78249-3883
(210) 831-2718

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
698609
TX

Other

Enumeration date
09/06/2024
Last updated
09/06/2024
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