Provider Demographics
NPI:1982392395
Name:DAVILA, MARIA (COLLEGE CREDIT HOURS)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:DAVILA
Suffix:
Gender:F
Credentials:COLLEGE CREDIT HOURS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 N GETTY ST # 78801
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-4205
Mailing Address - Country:US
Mailing Address - Phone:830-275-8945
Mailing Address - Fax:
Practice Address - Street 1:1007 N GETTY ST # 78801
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-4205
Practice Address - Country:US
Practice Address - Phone:830-591-9351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-25
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide