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Individual

ANA M AVALOS MISHAAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N0616
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
137345810
CSHCN GROUP
TX
01
140442852
MEDICAID GROUP
TX
01
1750369203
GROUP NPI
05
197453701
TX
01
197453702
CSHCN
TX
05
368699535B
GA
Enumeration date
07/05/2006
Last updated
10/02/2017
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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