Individual
MICHAEL DAVID VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN604391
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP121761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN604391
STATE MEDICAL LICENSE
PA
Enumeration date
08/16/2011
Last updated
02/04/2025
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