Organization
KAYBELLA12 LLC
Active
Other names
Avila Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO CESAR AVILA (OWNER/MANAGER)
(956) 464-4497
Entity
Organization
Contact information
Practice address
308 N SALINAS BLVD, DONNA, TX 78537-2930
(956) 464-4497
(956) 464-7713
Mailing address
308 N SALINAS BLVD, DONNA, TX 78537-2930
(956) 464-4497
(956) 464-7713
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
TX
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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