| Roberto L Villarrealdds | |
|
1302 S General Mcmullen Dr Ste 102 San Antonio TX 78237-4200 | |
| (210) 432-7851 | |
| (210) 432-1157 |
| Full Name | Roberto L Villarrealdds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1302 S General Mcmullen Dr Ste 102, San Antonio, Texas |
| Authorized Official Name and Position | Roberto Luis Villarreal (PRESIDENT/OWNER) |
| Authorized Official Contact | 2104327851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberto L Villarrealdds 1302 S General Mcmullen Dr Ste 102 San Antonio TX 78237-4200 Ph: (210) 432-7851 | Roberto L Villarrealdds 1302 S General Mcmullen Dr Ste 102 San Antonio TX 78237-4200 Ph: (210) 432-7851 |
| NPI Number | 1528332004 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528332004 | NPI | - | NPPES |
| 182496301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22476 (Texas) | Primary |
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