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Individual

CHRISTOPHER VILLARREAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

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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