| Family Practice Villarreal | |
|
208 Shiloh Dr Ste 1 Laredo TX 78045-7402 | |
| (956) 722-8484 | |
| (956) 727-8494 |
| Full Name | Family Practice Villarreal |
|---|---|
| Speciality | Family Medicine |
| Location | 208 Shiloh Dr Ste 1, Laredo, Texas |
| Authorized Official Name and Position | Gustavo E Villarreal (DOCTOR) |
| Authorized Official Contact | 9567228484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Villarreal 208 Shiloh Dr Ste 1 Laredo TX 78045-7402 Ph: (956) 722-8484 | Family Practice Villarreal 208 Shiloh Dr Ste 1 Laredo TX 78045-7402 Ph: (956) 722-8484 |
| NPI Number | 1972729945 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 11/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972729945 | NPI | - | NPPES |
| 079740901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G6038 (Texas) | Primary |
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