Avila Edwards, Kimberly Cruzita
Avila Edwards, Kimberly Cruzita is an individual health care provider with primary practice located at 6835 Austin Center Blvd , Austin TX 78731-3166. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Avila Edwards, Kimberly Cruzita can be contacted via phone (512) 346-6611.Contact Information
Primary practice address
6835 Austin Center Blvd
Austin TX 78731-3166
Phone: (512) 346-6611
Fax: (512) 465-1633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L4357 | Texas |
Profile Details
| NPI number | 1831297514 |
|---|---|
| LBN Legal business name | Avila Edwards, Kimberly Cruzita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 31st, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831297514 | NPPES |
| Texas | MEDICAID | 152555201 | |
| Texas | MEDICAID | 152555205 | |
| Texas | MEDICAID | 152555202 | |
| Texas | MEDICAID | 152555206 |
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