Individual
AEDANN VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8074 SPRING VALLEY RD, DALLAS, TX 75240-3827
(469) 809-2020
Mailing address
8074 SPRING VALLEY RD, DALLAS, TX 75240-3827
(469) 809-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11695TG
TX
Other
Enumeration date
06/30/2026
Last updated
08/05/2026
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