Individual
SONIA VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4203 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3722
(210) 222-0333
(210) 928-4837
Mailing address
4642 GREEN WILLOW WOODS, SAN ANTONIO, TX 78249-1432
(210) 269-3199
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA08888
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339059301
—
TX
Enumeration date
02/14/2014
Last updated
02/16/2015
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