Individual
DR. GUSTAVO V. VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2603 MICHAEL ANGELO DR, EDINBURG, TX 78539-1417
(956) 362-8767
(956) 362-2548
Mailing address
2603 MICHAEL ANGELO DR, EDINBURG, TX 78539-1417
(956) 362-8767
(956) 362-2548
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
Q5296
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349165601
—
TX
05
—
349165602
—
TX
Enumeration date
06/07/2010
Last updated
02/26/2018
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