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Individual

MR. RAFAEL RICARDO VILLYARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SURGICAL ASSISTANT

Contact information

Practice address
8230 WALNUT HILL LN, SUITE 700, DALLAS, TX 75231-4482
(214) 691-1902
Mailing address
8230 WALNUT HILL LN, SUITE 700, DALLAS, TX 75231
(214) 490-3664
(214) 987-1845

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
363AS0400X
Surgical Physician Assistant
Primary
SA00766
TX

Other

Enumeration date
04/15/2014
Last updated
08/27/2019
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