Lia Davalos Professional Corporation

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

LIA DAVALOS PROFESSIONAL CORPORATION

Practice address

10470 Vista del Sol Dr
El Paso, TX 79925-7948

Phone

(915) 615-7150

NPI assigned

Oct 14, 2020

Organization subpart

No

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

Authorized official

Name

Lia Davalos, AGACNP-BC

Title

Nurse Practitioner

Phone

(915) 615-7150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lia Zubiarrain, NP

  • Nurse Practitioner
  • El Paso, TX
  • NPI 1154752004
  Medicare reassignment

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1417555152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 VISTA DEL SOL DR STE 102",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257928",
            "telephone_number": "915-615-7150",
            "fax_number": "915-207-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 VISTA DEL SOL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257948",
            "telephone_number": "915-615-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIA DAVALOS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "DAVALOS",
        "authorized_official_first_name": "LIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "915-615-7150",
        "authorized_official_credential": "AGACNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Li, MD
• Dongmei Li
• Kong Li, PHARMD
• Royce Li
• Shanlin Li
• Laura Liang, SOCIAL WORKER SW
• Yu Liang, DO
• Liano Physical Therapy LLC (Excel Physical Therapy)
• Ruben Liano, P.T.
• Panagiotis Liasidis

• Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.