Individual
MARK CHARLES VILLARREAL
Active
Individual
MARK CHARLES VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J3387
TX
207L00000X
Anesthesiology Physician
Primary
J3387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100166090A
—
OK
05
—
140934401
—
TX
05
—
140934404
—
TX
01
—
8EH598
BCBS
TX
01
—
P01338257
RR
TX
Enumeration date
02/22/2006
Last updated
10/04/2022
Update your record
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