Individual
MR. JOSE VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3401 DUNVALE RD APT 2806, HOUSTON, TX 77063-5642
(832) 638-5319
Mailing address
3401 DUNVALE RD APT 2806, HOUSTON, TX 77063-5642
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
2110346
TX
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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