Individual
PAULINE AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 441-3020
Mailing address
6550 FANNIN ST STE 1001, HOUSTON, TX 77030-2740
(713) 799-9997
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
848064
TX
363L00000X
Nurse Practitioner
Primary
1031960
TX
Other
Enumeration date
01/24/2020
Last updated
01/14/2022
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