Individual
MR. ROSENDO VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA , OPA-C
Contact information
Practice address
211 BAKER RD UNIT 251, BARKER, TX 77413-6013
(281) 468-1212
Mailing address
211 BAKER RD UNIT 251, BARKER, TX 77413-6013
(281) 468-1212
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
246ZX2200X
Orthopedic Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00249
TX SURGICAL ASSISTANT
TX
Enumeration date
08/18/2006
Last updated
03/06/2020
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