Individual
DR. CAROL KITAY VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6701 HERITAGE PKWY, STE 160, ROCKWALL, TX 75087-8747
(972) 412-2113
(972) 412-3991
Mailing address
6701 HERITAGE PKWY, STE 160, ROCKWALL, TX 75087-8747
(972) 412-2113
(972) 412-3991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M9721
TX
207R00000X
Internal Medicine Physician
PENDING
TX
Other
Enumeration date
05/25/2007
Last updated
03/16/2010
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