Individual
JESUS ELEAZAR VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
910 S BRYAN RD STE 202, MISSION, TX 78572-6659
(956) 682-6126
(956) 580-0464
Mailing address
910 SOUTH BRYAN RD. SUITE 202, MISSION, TX 78572-4928
(956) 682-6126
(956) 580-0464
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD37023
SC
208600000X
Surgery Physician
Primary
Q4325
TX
Other
Enumeration date
07/08/2009
Last updated
07/21/2022
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