Individual
DR. CARLOS R VILLALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 PALMVIEW DR STE 1, PALMVIEW, TX 78572-9394
(956) 225-2625
(956) 598-6069
Mailing address
PO BOX 3371, MISSION, TX 78573-0057
(956) 362-9600
(956) 598-6069
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
J3646
TX
Other
Enumeration date
05/03/2006
Last updated
11/04/2022
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