Dr. Fausto Avila, MD
Family Medicine in Bryan, TX. Individual provider (NPI-1).
NPI number1629172895
StatusActive
Last updated in NPPESJun 19, 2008
Details
- NPI
- 1629172895
- Entity type
- Individual (NPI-1)
- Name
- Dr. Fausto Avila
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2006
- Last updated
- Jun 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | k3071 | TX | Yes |
Practice location
2010 E Villa Maria Rd # ABryan, TX 77802-2540
Phone 979-776-7513 · Fax 940-592-4842
Mailing address
2010 E Villa Maria Rd # ABryan, TX 77802-2540
Phone 979-776-7513 · Fax 940-592-4842
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