Individual
AZARET VILLEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 N MOPAC EXPY STE 2, AUSTIN, TX 78731-3282
(512) 963-0943
Mailing address
11413 SPRINKLE CUTOFF RD, AUSTIN, TX 78754-5410
(512) 963-0943
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1057784
TX
Other
Enumeration date
11/04/2021
Last updated
12/08/2021
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