Doctor Name: | MRS. JANIE MARTINEZ AVILA |
NPI Number: | 1780919027 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, FNP-BC |
License Number: | 678190 |
Business Practice Address: | 1602 N Mechanic St El Campo, TX - 774372640 |
Business Phone Number: | 9795432956 |
Business Fax Number: | 9795436756 |
Mailing Address: | 909 Frostwood Dr, Suite 1.100 HOUSTON |
State: | TX |
Postal Code: | 770242301 |
Phone Number: | 7133384523 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2009 |
NPI Last Update Date: | 07/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 678190 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |