Individual
ANTHONY JOSEPH AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-4621
Mailing address
20510 MEANDERING CIR, SAN ANTONIO, TX 78258-4356
(210) 870-9090
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
04/10/2026
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