Individual
RUTH VILLEROEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA, LSA
Contact information
Practice address
7934 VISHAL DR, CORPUS CHRISTI, TX 78414-2176
(210) 324-2550
Mailing address
7934 VISHAL DR, CORPUS CHRISTI, TX 78414-2176
(210) 324-2550
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
180894
—
246ZC0007X
Surgical Assistant
SA00851
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180894
NATIONAL BOARD OF SURGICAL TECH AND SURGICAL ASSISTING
—
Enumeration date
01/21/2019
Last updated
12/15/2021
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