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Individual

JOHN F. VILLACIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4002
(512) 901-3902
Mailing address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4002
(512) 901-3902

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
L8548
TX
207KA0200X
Allergy Physician
Primary
L8548
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165659701
TX
01
P00157014
RRMCR
TX
Enumeration date
04/25/2006
Last updated
02/09/2022
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