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Organization

ROBERTO L. VILLARREAL MDPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERTO LUIS VILLARREAL MDPA (OWNER)
(956) 717-5974
Entity
Organization

Contact information

Practice address
6553 METRO COURT, SUITE A, LAREDO, TX 78041
(956) 717-5974
(956) 791-0736
Mailing address
6553 METRO COURT, SUITE A, LAREDO, TX 78041
(956) 717-5974
(956) 791-0736

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
F3370
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130196201
TX
05
130196202
TX
Enumeration date
04/16/2010
Last updated
04/27/2010
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