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Individual
BLAS EDWARD VILLA
Active
Individual
BLAS EDWARD VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP142810
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP142810
TX
Other
Enumeration date
10/01/2019
Last updated
07/20/2026
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