| NPI | 1497349815 |
|---|---|
| Doing Business As | AVALA |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DANIEL President 985-809-9888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |