DR. FAUSTO AVILA MD NPI 1629172895

NPI Information

  • NPI: 1629172895
  • Provider Name: DR. FAUSTO AVILA, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 2010 E VILLA MARIA RD # A
    BRYAN, TX
    ZIP 77802
  • Phone: (979) 776-7513

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NPI Details

DR. Fausto Avila, MD is a family medicine in Bryan, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Fausto Avila, MD NPI is 1629172895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2010 E VILLA MARIA RD # A
BRYAN, TX
ZIP 77802-540
Phone: (979) 776-7513
Fax: (940) 592-4842

The enumeration date for this NPI number is 9/11/2006 and was last updated on 6/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineK3071TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G52266MEDICARE UPIN
28U5907OTHERTEXASBLUE CROSS BLUE SHIELD
3P00449161OTHERMEDICARE RAILROAD
4105087403MEDICAIDTEXAS
58J8727MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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