| NPI | 1891037123 |
|---|---|
| Other Name | MICHAEL A DAVILA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123452) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: TX 608072) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 608072) | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2023-12-16 |