Individual
DR. JAIME VILLARREAL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5540 RAPHAEL DR, EDINBURG, TX 78539
(956) 362-6683
(956) 362-6818
Mailing address
PO BOX 4624, MCALLEN, TX 78502-4624
(956) 362-6683
(956) 362-6818
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
BP10043277
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
Q9920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q9920
TMB LICENSE
TX
Enumeration date
05/01/2012
Last updated
08/09/2018
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