MAYRA ALEJANDRA AVILA ACORD (NPI# 1619442282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619442282 |
| Entity Type | Individual |
| Full Name | MAYRA ALEJANDRA AVILA ACORD |
| Other Name | MAYRA ALEJANDRA AVILA |
| Credential | RN, AGACNP-BC |
| Practice Address |
700 Olympic Plaza Cir Ste 850 Tyler TX 75701-1955 |
| Mailing Address |
4807 Barclay Dr Tyler TX 75703-3131 |
| Practice Telephone | 9035952441 |
| Mailing Telephone | 9033915949 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 829710 | TX | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP139168 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
700 OLYMPIC PLAZA CIR STE 850 |
| City | TYLER |
| State | TX |
| Zip Code | 75701-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619905502 | Thomas Alexander Jr Services | Radiologic Technologist | 700 Olympic Plaza Cir Ste 850, Southwestern Cerebral Circulatory Dynamics, Tyler, TX 75701-1955 | 2006-06-29 |
| 1336757228 | Amanda J Shipp | Nurse Practitioner | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2020-07-16 |
| 1316573751 | Eryn Ruth Hunter | Physician Assistant | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2020-03-17 |
| 1508376716 | Neuro Ir of East Texas | Radiology | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2017-10-03 |
| 1497919310 | Nicholas Stephen Andrade | Neurological Surgery | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2008-07-10 |
| 1669672960 | Stephen Vincent Nalbach Jr. | Neurological Surgery | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071116 | Carie Elise Bodnar | Nurse Practitioner | 910 E Houston St Ste 500, Tyler, TX 75702-8365 | 2020-07-29 |
| 1821461070 | Matthew Applegate | Nurse Practitioner | 700 Olympic Plaza Cir Ste 407, Tyler, TX 75701-1952 | 2015-11-10 |
| 1053401588 | Rebecca A Turner | Nurse Practitioner | 1133 Medical Drive, Tyler, TX 75701 | 2006-10-13 |
| 1225049083 | Alice Meredithe Nix | Nurse Practitioner | 1530 Ssw Loop 323, Suite 123, Tyler, TX 75701-2562 | 2006-08-10 |
| 1174130462 | Jessica Lemoine Phillips | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-09-30 |
| 1366051526 | Bessie Burchfield | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-07-23 |
| 1033739388 | Eric Bradley Vogt | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-04-16 |
| 1922641299 | Marcus Evans | Nurse Practitioner | 703 S Fleishel Ave, Tyler, TX 75701-2015 | 2019-10-19 |
| 1578105771 | Haley Renee Dias | Nurse Practitioner | 4111 University Blvd, Tyler, TX 75701-6623 | 2019-10-09 |
| 1346718939 | Amber Dionne Wood | Nurse Practitioner | 619 S Fleishel Ave Ste 100, Tyler, TX 75701-2004 | 2018-11-13 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.