| NPI | 1326485509 |
|---|---|
| Other Name | FERNANDO T. AVILA |
| Entity Type | Organization |
| Authorized Contact | FERNANDO T AVILA Owner/Provider 210-212-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-11-25 |