Individual
JAVIER R. VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4510 MEDICAL CENTER DR STE 211, MCKINNEY, TX 75069-1602
(469) 541-1600
Mailing address
906 W MCDERMOTT DR # 116-371, ALLEN, TX 75013-6510
(469) 541-1600
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
626943
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161070102
—
TX
05
—
161070104
—
TX
05
—
161070106
—
TX
05
—
161070107
—
TX
05
—
200416020A
—
OK
01
—
85322U
BCBS
TX
Enumeration date
12/22/2005
Last updated
09/28/2023
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