Organization Active NPI

Fenando T. Avila MD PA

  • Pain Medicine (Anesthesiology) Physician
  • San Antonio, TX
National Provider Identifier
1376839399
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G2899 Issued in TX
Legal business name
FENANDO T. AVILA MD PA
Practice address
700 S Saint Marys St
San Antonio, TX 78205-3435
Phone
(210) 223-1181
Fax
(210) 226-1268
NPI assigned
Jun 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Mrs. Cindi Garcia
Title
Credentialing
Phone
(713) 532-9421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X G2899 TX Primary

Addresses

Primary practice location

700 S Saint Marys St
San Antonio, TX 78205-3435

Mailing address

PO Box 120040
San Antonio, TX 78212-9240
Phone (210) 223-1181

Other names 1

  • The Pain Management Centers Of South Texas Doing business as

National Provider Directory

National Provider Directory

Locations

1017 N Main Ave
#1023
San Antonio, TX 78212
Phone (210) 212-8280

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1376839399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120040",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782129240",
            "telephone_number": "210-223-1181",
            "fax_number": "210-226-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S SAINT MARYS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782053435",
            "telephone_number": "210-223-1181",
            "fax_number": "210-226-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENANDO T. AVILA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CINDI",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "713-532-9421",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "G2899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pain Management Centers Of South Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.