Individual
MR. JORGE VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
2425 SHAFTSBURY DR, CORPUS CHRISTI, TX 78415-4483
(361) 459-9680
Mailing address
2425 SHAFTSBURY DR, CORPUS CHRISTI, TX 78415-4483
(361) 459-9680
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
SA00550
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/01/2009
Last updated
10/13/2021
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