Individual
RONALD JASON VILELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 FANNIN ST STE 640, HOUSTON, TX 77030-2610
(832) 822-3250
(832) 825-9070
Mailing address
6701 FANNIN ST STE 640, HOUSTON, TX 77030-2610
(832) 822-3250
(832) 825-9070
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
49464
MN
207YP0228X
Pediatric Otolaryngology Physician
Primary
M9720
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207261301
—
TX
01
—
8L13895
MEDICARE PTAN
—
Enumeration date
06/01/2007
Last updated
10/31/2018
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