Individual
MR. MANUEL DIAZ VILLEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
3150 SW MILITARY DR, SAN ANTONIO, TX 78224-1038
(210) 927-4188
Mailing address
1654 HICKORY WAY, SAN ANTONIO, TX 78264-4218
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80706
LICENSED FITTER/ DISPENSER OF HEARING INSTRUMENTS
TX
Enumeration date
05/30/2017
Last updated
05/30/2017
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