Provider Demographics
NPI:1447833264
Name:ARCHILA, ANA ISABEL (PA-C)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:ISABEL
Last Name:ARCHILA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:
Other - Last Name:CHAVEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1820 WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5024
Mailing Address - Country:US
Mailing Address - Phone:214-723-1349
Mailing Address - Fax:
Practice Address - Street 1:5501 INDEPENDENCE PKWY STE 110
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-5472
Practice Address - Country:US
Practice Address - Phone:940-381-1501
Practice Address - Fax:972-424-9117
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA14545363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant