Individual
CARLOS ARTURO AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2487 E 11TH ST, ODESSA, TX 79761-4232
(432) 332-1386
Mailing address
415 CLIFFORD ST, ODESSA, TX 79761-6638
(432) 201-0796
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
924232
TX
363LF0000X
Family Nurse Practitioner
Primary
1089090
TX
Other
Enumeration date
04/02/2022
Last updated
08/18/2022
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