Individual
JUAN A VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13725 NORTHWEST BLVD, SUITE #110, CORPUS CHRISTI, TX 78410-5127
(361) 387-7177
(361) 387-8355
Mailing address
13725 NORTHWEST BLVD, SUITE #110, CORPUS CHRISTI, TX 78410-5127
(361) 387-7177
(361) 387-8355
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H3292
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116026902
—
TX
Enumeration date
08/31/2006
Last updated
10/01/2008
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