# CLINICA VILLANUEVA FAMILY PRACTICE PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629785936
- **Authorized official:** MRS. ANA GUARDIOLA (FNP)
- **Authorized official phone:** (830) 421-5057

## Contact information

- **Practice address:** 1795 S VETERANS BLVD, EAGLE PASS, TX 78852-6746
- **Practice address phone:** (210) 627-1983
- **Practice address fax:** (833) 464-4427
- **Mailing address:** 1795 S VETERANS BLVD, EAGLE PASS, TX 78852-6746
- **Mailing address phone:** (830) 421-5057
- **Mailing address fax:** (833) 464-4427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2022
- **Last updated:** 11/05/2024