Individual
MS. CARMEN AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT108134
Contact information
Practice address
1719 N 23RD ST, MCALLEN, TX 78501-6119
(956) 739-9456
Mailing address
2100 WESTWAY AVE, MCALLEN, TX 78501-6168
(956) 739-9456
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
225700000X
Massage Therapist
MT108134
TX
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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