Avila, Suzanne

Avila, Suzanne is an individual health care provider with primary practice located at 3240 Fort Worth St Ste 100 , Corpus Christi TX 78411-2459. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Avila, Suzanne can be contacted via phone (361) 225-2255.

Contact Information

Primary practice address
3240 Fort Worth St Ste 100 Corpus Christi TX 78411-2459
Phone: (361) 225-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G4028 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036064093 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101007493 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G4028 Texas

Profile Details

NPI number 1134145071
LBN Legal business name Avila, Suzanne
Credentials D.O., FACEP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jan 25th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134145071 NPPES
Texas MEDICAID 131995611

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