Individual
DR. KIMBERLY CRUZITA AVILA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6835 AUSTIN CENTER BLVD, AUSTIN, TX 78731-3166
(512) 346-6611
(512) 465-1633
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
L4357
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152555201
—
TX
05
—
152555202
—
TX
05
—
152555205
—
TX
05
—
152555206
—
TX
Enumeration date
09/20/2006
Last updated
07/31/2012
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