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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