Individual
FIDEL DAVILA
Active
Individual
FIDEL DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
F1494
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
E-6583
AR
207RP1001X
Pulmonary Disease Physician
Primary
E-6583
AR
208M00000X
Hospitalist Physician
E-6583
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105210203
—
TX
05
—
105210204
—
TX
05
—
105210205
—
TX
Enumeration date
10/10/2007
Last updated
04/24/2017
Update your record
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