DR. FAUSTO AVILA MD NPI 1629172895

NPI Information

NPI: 1629172895
Provider Name: DR. FAUSTO AVILA, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
2010 E VILLA MARIA RD # A
BRYAN, TX
ZIP 77802
Phone: (979) 776-7513
Get Directions

DR. Fausto Avila, MD is a family medicine in Bryan, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Fausto Avila, MD NPI is 1629172895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2010 E VILLA MARIA RD # A
BRYAN, TX
ZIP 77802-540
Phone: (979) 776-7513
Fax: (940) 592-4842

The enumeration date for this NPI number is 9/11/2006 and was last updated on 6/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		K3071	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G52266	MEDICARE UPIN
2	8U5907	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
3	P00449161	OTHER		MEDICARE RAILROAD
4	105087403	MEDICAID	TEXAS
5	8J8727	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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