Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Luis Enrique Diez Avila, PA-C

Individual provider Medical Physician Assistant · NPI 1427740075

Luis Enrique Diez Avila, PA-C is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2023, 3 years ago. Practices with Prisma Health Urgent Care of South Carolina PC, a 156-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oklahoma and South Carolina.

Years since qualifying
3
Licensed in
OK, SC
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4021 S Walker Ave Ste 201
Oklahoma City, OK 73109-6977
Phone: (405) 632-6688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 905 Verdae Blvd Ste 101, Greenville, SC 29607-4098 — (864) 990-1910
  • 1298 Woodruff Rd, Greenville, SC 29607-5754 — (864) 236-4700

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5020 (OK)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5562 (SC)

Record details

NPI number1427740075
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 23, 2023
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Prisma Health Urgent Care Of South Carolina Pc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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