Avila Pain And Wellness Center, Pa

NPI 1083736995 - Specialist - 174400000X

NPI Details
NPI 1083736995
Enumeration Date 04/04/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FERNANDO TIMOTHY FERNANDO
Position OWNER
Phone (956) 504-3200
Fax
Practice Location
1100 N EXPRESSWAY 83
SUITE 3
BROWNSVILLE TX, 78521, US
Phone (956) 504-3200
Fax
Business Location
1100 N EXPRESSWAY 83
SUITE 3
BROWNSVILLE TX, 78521, US
Phone (956) 504-3200
Fax
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number G2899
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According to our database, Avila Pain And Wellness Center, Pa NPI is 1083736995, taxonomy code is 174400000X and license number is G2899, license state is located at Texas. Avila Pain And Wellness Center, Pa physically located at 1100 N Expressway 83, Brownsville TX, 78521. NPI Number 1033115704 has the healthcare provider type.

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1083736995 NPI number is provided on an as is basis without warranty of any kind. 1083736995 is maintained by the National Plan & Provider Enumeration System. The contents of Avila Pain And Wellness Center, Pa are for informational purposes only.