Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1018083 | TX |
N | 2251H1200X | Hand | 1018083 | TX |
NPI | 1033128350 |
---|---|
Provider Name | Sylvia Ann Davila |
First Address | Helotes, TX 78023-4689 |
Second Address | San Antonio, TX 78240-3993 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 26/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0059016 | BLUELINK (01) | TX |
1018083 | PT LICENSE NUMBER (01) | TX |
81795T | BCBS (01) | TX |
8B1718 | (02) |