Individual
JORGE LUIS VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
820 CAMELOT DR, HARLINGEN, TX 78550-8400
(956) 423-2663
(956) 440-8272
Mailing address
3014 VIOLA DR, MISSION, TX 78574-2072
(956) 655-5291
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2045169
TX
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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