Provider Demographics
NPI:1902411556
Name:AVSHMAN, NATALIE LILY
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:LILY
Last Name:AVSHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10410 LEGACY CV
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-4421
Mailing Address - Country:US
Mailing Address - Phone:832-566-8551
Mailing Address - Fax:
Practice Address - Street 1:10410 LEGACY CV
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-4421
Practice Address - Country:US
Practice Address - Phone:832-566-8551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic