Individual
JOSE VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
801 WESTMINSTER PL, ROUND ROCK, TX 78664-7636
(512) 964-8694
Mailing address
801 WESTMINSTER PL, ROUND ROCK, TX 78664-7636
(512) 964-8694
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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