MEDICARE: DR. GABRIEL I DAVILA O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	10268	TX

General Provider Information

NPI Number	:	1568031656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GABRIEL I DAVILA O.D.

Provider Business Mailing Address
First Line	:	7340 CIMARRON MARKET AVE STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-8171
Country	:	US
Telephone Number	:	915-910-5915
Fax Number	:	915-910-4003

Provider Business Practice Location Address
First Line	:	7340 CIMARRON MARKET AVE STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-8171
Country	:	US
Telephone Number	:	915-910-5915
Fax Number	:	915-910-4003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2021
Last Update Date	:	10/03/2025

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