Individual provider Active NPI

Justin Davila, FNP

  • Family Nurse Practitioner
  • Brownsville, TX
National Provider Identifier
1063085546
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1050808 Issued in TX
Practice address
3125 Internatl Blvd
Brownsville, TX 78521-3213
Phone
(956) 542-4100
NPI assigned
Jul 21, 2021
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 889181 TX
Nurse Practitioner 363L00000X 1050808 TX
Family Nurse Practitioner 363LF0000X 1050808 TX Primary

Addresses

Primary practice location

3125 Internatl Blvd
Brownsville, TX 78521-3213

Mailing address

502 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 292-0100

Other practice location 1

502 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 292-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220316003916 TX Practitioner - Nurse Practitioner 4981099538 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

412 E 18TH St
Suite E
Weslaco, TX 78596-8032
Phone (956) 520-7050

721 W Harrison Ave
Harlingen, TX 78550-6016
Phone (956) 247-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
889181TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Monzer H Yazji MD & Associates PLLC CurrentSince Dec 2, 2021 Accepting new patients
Davila's Clinic, PLLC CurrentSince Nov 5, 2024 Accepting new patients
South Texas Physician Partners PLLC CurrentSince Apr 2, 2025 Accepting new patients

Locations

3125 International Blvd
Brownsville, TX 78521
Phone (956) 541-4200

502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100

721 W Harrison Ave
Harlingen, TX 78550
Phone (956) 247-7000

5201 N 10th St
McAllen, TX 78504
Phone (956) 631-5411

Interoperability endpoints

  • Direct secure messaging: justin.davila.1@33464.direct.athenahealth.com
  • Direct secure messaging: justin.davila@415054778073092.direct.elationemr.com
  • Direct secure messaging: justin.davila@yazjimd.directbygreenway.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1063085546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394660",
            "telephone_number": "956-292-0100",
            "fax_number": "956-383-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 INTERNATL BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213213",
            "telephone_number": "956-542-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 S Closner Blvd",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785394660",
            "country_code": "US",
            "telephone_number": "956-292-0100",
            "fax_number": "956-383-1906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "JUSTIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-21",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "889181",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1050808",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1050808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.