Organization Active NPI

Avila Pain and Wellness Center, PA

  • Specialist
  • Brownsville, TX
National Provider Identifier
1083736995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G2899 Issued in TX
Legal business name
AVILA PAIN AND WELLNESS CENTER, PA
Practice address
1100 N Expressway 83
Suite 3
Brownsville, TX 78521
Phone
(956) 504-3200
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Fernando Timothy Avila, MD
Title
Owner
Phone
(956) 554-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G2899 TX Primary

Addresses

Primary practice location

1100 N Expressway 83
Suite 3
Brownsville, TX 78521

Mailing address

1100 N Expressway 83
Suite 3
Brownsville, TX 78521
Phone (956) 504-3200

National Provider Directory

National Provider Directory

Locations

1100 W Tyler Ave
Harlingen, TX 78550
Phone (956) 423-7320

414 Navarro St
Ste 1601
San Antonio, TX 78205
Phone (210) 227-0781

700 S Saint Marys St
San Antonio, TX 78205
Phone (210) 223-1181

1017 N Main Ave
San Antonio, TX 78212
Phone (210) 224-1022

1017 N Main Ave
Ste 1023
San Antonio, TX 78212

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083736995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N EXPRESSWAY 83",
            "address_2": "SUITE 3",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78521",
            "telephone_number": "956-504-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N EXPRESSWAY 83",
            "address_2": "SUITE 3",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78521",
            "telephone_number": "956-504-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVILA PAIN AND WELLNESS CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-554-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G2899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.