Individual
JUAN MARIO VILLAFANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
19701 KINGWOOD DR, BLDG 9, KINGWOOD, TX 77339-3773
(281) 548-3555
(281) 548-3552
Mailing address
22710 PROFESSIONAL DR, STE 102, KINGWOOD, TX 77339-6008
(281) 548-3555
(281) 548-3552
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J9930
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019BY
GROUP MEDICARE PTAN
TX
05
—
036316004
—
TX
01
—
111815002
GROUP TPI- MILLENNIUM PHYSICIANS ASSOCIATION, PLLC
TX
01
—
1255397733
GROUP NPI
TX
Enumeration date
04/21/2006
Last updated
04/26/2017
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