Organization
VILLA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD RICHEY (CEO)
(713) 898-9671
Entity
Organization
Contact information
Practice address
14833 SOUTHWEST FWY, SUGAR LAND, TX 77478-5016
(281) 207-8858
Mailing address
4411 BLUEBONNET DR STE 106, STAFFORD, TX 77477-2912
(281) 900-9750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207YS0012X
Sleep Medicine (Otolaryngology) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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