Individual
FRANK VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
711 W BROADWAY ST, DENVER CITY, TX 79323-3000
(956) 257-9379
Mailing address
8858 CLAVEL DR, EL PASO, TX 79907-4928
(956) 257-9379
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
216206
TX
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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