Provider Demographics
NPI:1801129390
Name:ADVIL HEALTHCARE
Entity type:Organization
Organization Name:ADVIL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOSTAFA
Authorized Official - Middle Name:SAID
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-639-3553
Mailing Address - Street 1:4606 CENTERVIEW
Mailing Address - Street 2:SUITE 221
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1214
Mailing Address - Country:US
Mailing Address - Phone:210-639-3553
Mailing Address - Fax:210-341-7808
Practice Address - Street 1:4606 CENTERVIEW
Practice Address - Street 2:SUITE 221
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1214
Practice Address - Country:US
Practice Address - Phone:210-639-3553
Practice Address - Fax:210-341-7808
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOST CHOICE HEALTHCARE,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health