NPI | 1255531992 |
---|---|
Professional Name | FERNANDO JOSE AVILES-CEVASCO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N7210) |
Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: TX N7210) |
261QP2300X Clinic/Center, Primary Care (Licence: TX n7210) | |
Enumeration Date | 2007-07-20 |
Last Update Date | 2022-01-07 |