Individual
MR. NATHAN DANIEL DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1310 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-5601
(210) 757-2200
Mailing address
2519 TUSCAN OAKS, SAN ANTONIO, TX 78261-2652
(210) 286-6527
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP127719
TX
363LF0000X
Family Nurse Practitioner
AP127719
TX
Other
Enumeration date
03/19/2015
Last updated
12/09/2020
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