Individual
AVIS M DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3816 S 1ST ST, AUSTIN, TX 78704-7048
(512) 443-1311
(512) 448-8250
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H3999
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105570901
—
TX
05
—
105570903
—
TX
05
—
105570904
—
TX
05
—
105570905
—
TX
Enumeration date
07/29/2006
Last updated
02/27/2012
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