Individual
MR. JOHNNY D VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478-3540
(832) 655-4141
(713) 457-5188
Mailing address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478-3540
(832) 655-4141
(713) 457-5188
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA 00102
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83NN16
BCBS - UNIVERSAL SURGICAL ASSISTANTS
TX
01
—
83NN19
BCBS - UNIVERSAL SURGICAL PARTNERS
TX
01
—
85NN31
BCBS - XCITE SURGICAL
TX
01
—
8LH862
BCBS - BLUE STAR SURGICAL ASSISTANTS LLC
TX
01
—
SA00102
TEXAS MEDICAL BOARD
TX
Enumeration date
12/07/2005
Last updated
10/13/2023
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