Individual
DR. RODOLFO VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1415 NORTH LOOP W, 820, HOUSTON, TX 77008-1664
(713) 861-8200
Mailing address
1415 NORTH LOOP W, 820, HOUSTON, TX 77008-1664
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D4343
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J245
MEDICARE GROUP
TX
01
—
10016866
AMERIGROUP
TX
01
—
CS7910
MEDICARE RAILROAD GROUP
TX
Enumeration date
06/13/2006
Last updated
11/08/2007
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