Individual
CHRISTOPHER VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
510 E MAIN ST, ANTLERS, OK 74523-3262
(580) 298-3341
(580) 298-2206
Mailing address
PO BOX 518, ANTLERS, OK 74523-0518
(580) 298-3341
(580) 298-2206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA05868
TX
363AM0700X
Medical Physician Assistant
Primary
1691888
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100159270A
—
OK
01
—
1691888
STATE LICENSE
OK
Enumeration date
08/22/2005
Last updated
04/27/2026
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