Individual
BETHANY VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD, CSCS
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-5602
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84405
TX
Other
Enumeration date
03/31/2021
Last updated
02/07/2022
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