Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 19188 | TN |
N | 207QA0401X | Family Doctor - Addiction Medicine | 19188 | TN |
NPI | 1891741435 |
---|---|
Provider Name | Francisco Orlando Avila |
First Address | Nashville, TN 37211-8502 |
Second Address | Hartsville, TN 37074-1744 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 28/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009940602 | (05) | AL |
3889219 | (05) | TN |
4079041 | BCBSTN (01) | TN |
64105950 | (05) | KY |
890-27817 | BCBS OF AL (01) | AL |
D93626 | (02) | TN |
P00231535 | RAILROAD MEDICARE (01) | TN |