Organization
SUPERIOR ACCESS AND HOME MODS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MICHAEL DAVILA (OWNER)
(361) 571-9370
Entity
Organization
Contact information
Practice address
406 WILLIAMSBURG AVE, VICTORIA, TX 77904
(361) 571-9370
Mailing address
406 WILLIAMSBURG AVE, VICTORIA, TX 77904-2532
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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