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Individual

JANET L DAVILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D., C.C.C.-A.

Contact information

Practice address
12221 N MO PAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4006
(512) 901-3906
Mailing address
12221 N MO PAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4006
(512) 901-3906

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80030
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
192842601
TX
05
192842602
TX
01
P01292698
RRMC PTAN
TX
Enumeration date
04/23/2008
Last updated
01/09/2017
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