Individual
MR. ALEJANDRO DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
2200 BERQUIST DRIVE SUITE 1, LACKLAND AFB, TX 78236
(210) 292-7325
Mailing address
2200 BERQUIST DRIVE SUITE 1, LACKLAND AFB, TX 78236
(210) 292-7325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
704727
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
704727
TX
Other
Enumeration date
04/29/2008
Last updated
12/09/2010
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