Organization
DAVID F VILLACRES MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID F VILLACRES MD (OWNER)
(281) 361-5990
Entity
Organization
Contact information
Practice address
3407 RIVERS EDGE TRL, KINGWOOD, TX 77339-2634
(281) 361-5990
(281) 361-5883
Mailing address
3407 RIVERS EDGE TRL, KINGWOOD, TX 77339-2634
(281) 361-5990
(281) 361-5883
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00K35U
MEDICARE PTAN
TX
05
—
089831402
—
TX
Enumeration date
01/07/2015
Last updated
01/07/2015
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