Individual
DR. NOEL FELICIANO VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 TOWER DR STE 111, ODESSA, TX 79761-4252
(432) 580-7440
(432) 580-7730
Mailing address
PO BOX 9575, MIDLAND, TX 79708-9575
(432) 580-7440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J7717
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138040405
—
TX
Enumeration date
01/08/2007
Last updated
07/08/2007
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