Individual
MR. EVERARDO VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
411 N 8TH AVE, EDINBURG, TX 78541-3309
(956) 336-5642
Mailing address
2623 W RODGERS RD, EDINBURG, TX 78540
(956) 318-0523
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2051768
TX
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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