Individual
MR. IVAN JAVIER AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7430 N MESA ST, EL PASO, TX 79912-3504
(915) 875-1801
(915) 875-1516
Mailing address
7430 N MESA ST, EL PASO, TX 79912-3504
(915) 875-1801
(915) 875-1516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
02/06/2019
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