Avila Family Practice Clinic PA
Organization Active NPI Family Medicine Physician · Donna, TX
NPI 1124560495 · NPPES record last updated Nov 17, 2016
Key facts
- NPI
- 1124560495
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- AVILA FAMILY PRACTICE CLINIC PA
- Practice address
- 308 N Salinas Blvd
Donna, TX 78537-2930 - Phone
- (956) 464-4497
- NPI assigned
- Nov 17, 2016
- Organization subpart
- No
Authorized official
- Name
- Julio Avila, PA-C
- Title
- Physician Assistant
- Phone
- (956) 464-4497
Practitioners 2
-
Pamela Ramirez Stroman, M.D.
-
Julio Avila, P.A.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170218000060 | TX | Part B Supplier - Clinic/Group Practice | 3274816186 |
Receives reassigned benefits from 2 practitioners Practice locations: Donna, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
308 N Salinas Blvd
Donna, TX 78537-2930
Mailing address
308 N Salinas Blvd
Donna, TX 78537-2930
Other providers in Donna, TX
- Irma Alvarado
- Juliana Alvarez Obregon
- Lizbeth Alvarez
- Sylvanus O Anidu
- Josue Arellanes Calderon
- Julio Avila
- Anna Balli Coronado
- Francisco Banda
- Maribel Barcenas
- Sandra Alisa Barrera-Flores
All providers in Donna, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.