Healthcare Provider Details

I. General information

NPI: 1225564636
Provider Name (Legal Business Name): MARIA DAVILA P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2017
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 W SAM HOUSTON BLVD STE 4
PHARR TX
78577-5198
US

IV. Provider business mailing address

1002 W SAM HOUSTON BLVD STE 4
PHARR TX
78577-5198
US

V. Phone/Fax

Practice location:
  • Phone: 956-783-1400
  • Fax: 956-783-8818
Mailing address:
  • Phone: 956-783-1400
  • Fax: 956-783-8818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA11249
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: