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Individual

BEATRICE VILLARREAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11914 DRAGON LN, SAN ANTONIO, TX 78252-2647
(210) 622-4300
Mailing address
4211 GARDENDALE ST, SAN ANTONIO, TX 78229-3180
(210) 615-7837

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
37177
TX
235Z00000X
Speech-Language Pathologist
Primary
123038
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578708483
TX
Enumeration date
09/08/2018
Last updated
09/12/2024
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