Individual
FIDEL DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 N ANGLIN ST, CLEBURNE, TX 76031-4134
(817) 645-5565
(817) 641-3679
Mailing address
400 S HENDERSON ST, FORT WORTH, TX 76104-1017
(817) 335-2583
(817) 335-2597
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
50593
TX
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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