Individual
FERNANDO AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5702 WEBER RD, CORPUS CHRISTI, TX 78413-3965
(361) 834-6360
Mailing address
5702 WEBER RD, CORPUS CHRISTI, TX 78413-3965
(361) 834-6360
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
140107343523138
TX
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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