Individual
DARLENE VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 GARENDALE, STE 200, SAN ANTONIO, TX 78229
(210) 614-4407
Mailing address
PO BOX 222, MISSION, TX 78573-0004
(956) 358-5471
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111919
TDLR
TX
01
—
14060860
ASHA
TX
01
—
25374012
DMV
TX
Enumeration date
08/21/2018
Last updated
08/21/2018
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