Individual
ISAAC A VILLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1512 N ZARAGOZA RD STE B, EL PASO, TX 79936-8903
(915) 213-0900
Mailing address
1512 N ZARAGOZA RD STE B, EL PASO, TX 79936-8903
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1139018
TX
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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