Davila, Fidel

Davila, Fidel is an sole proprietor health care provider with primary practice located at 1808 W Main St , Russellville AR 72801-2724. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Davila, Fidel can be contacted via phone (479) 222-1299.

Contact Information

Primary practice address
1808 W Main St Russellville AR 72801-2724
Phone: (479) 222-1299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X E-6583 Arkansas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X E-6583 Arkansas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X E-6583 Arkansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X F1494 Texas

Profile Details

NPI number 1841488392
LBN Legal business name Davila, Fidel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2007
Last updated Apr 24th, 2017 - about 7 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 1841488392 NPPES
Texas MEDICAID 105210204
Texas MEDICAID 105210203
Texas MEDICAID 105210205

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