Individual
GADDIEL VILELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
2505 MCKENDRICK DR, CEDAR PARK, TX 78613-6995
(512) 909-7278
Mailing address
2505 MCKENDRICK DR, CEDAR PARK, TX 78613-6995
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
749252
TX
363L00000X
Nurse Practitioner
Primary
AP132545
TX
Other
Enumeration date
10/19/2016
Last updated
11/08/2016
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