Individual
MIRLA L AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 4TH STREET, MS 8321, DEPT. OF NEUROLOGY, LUBBOCK, TX 79430
(806) 743-2391
(806) 743-5687
Mailing address
3601 4TH STREET, MS 8321, DEPT. OF NEUROLOGY, LUBBOCK, TX 79430-8321
(806) 743-2391
(806) 743-5687
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
Q9782
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Q9782
TX
Other
Enumeration date
04/09/2012
Last updated
03/20/2024
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