Organization
JORGE NATIVIDAD AVILA JR MD PA
Active
Organization
JORGE NATIVIDAD AVILA JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE AVILA MD (OWNER)
(818) 749-4743
Entity
Organization
Contact information
Practice address
125 W HAGUE RD STE 250, EL PASO, TX 79902-5814
(915) 219-4100
Mailing address
1500 BELLVIEW CT, EL PASO, TX 79912-2652
(915) 219-4100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/25/2017
Last updated
10/23/2024
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