Individual
MARCELO VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
470 JEFFERSON ST, EAGLE PASS, TX 78852-4507
(210) 357-0300
(210) 357-0458
Mailing address
PO BOX 725, LYTLE, TX 78052-0725
(210) 357-0300
(210) 357-0458
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J9607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047610301
—
TX
Enumeration date
10/13/2006
Last updated
05/10/2011
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