Individual
FERNANDO ANTONIO VILLALOBOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2930 N STANTON ST, EL PASO, TX 79902-2511
(915) 271-4571
Mailing address
616 BARCELONA DR, EL PASO, TX 79905-5021
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1001569
TX
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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