Individual
DR. ROBERTO LUIS VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6553 METRO CT, SUITE A, LAREDO, TX 78041-9137
(956) 717-5974
(956) 791-0736
Mailing address
6553 METRO CT, SUITE A, LAREDO, TX 78041-9137
(956) 717-5974
(956) 791-0736
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
F3370
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00EU79
BLUE CROSS BLUE SHIELD ID
TX
05
—
130196201
—
TX
Enumeration date
03/30/2006
Last updated
03/26/2010
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