NPI Profile for ROSENDO VILLARREAL in BARKER, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Orthopaedic Assistant |
246ZX2200X | |||
Surgical Assistant |
246ZC0007X |
| NPI # | 1104930304 |
|
| Status | Active | |
| Credentials | LSA , OPA-C | |
| Entity | Individual | |
| Enumeration date | 08/18/2006 | |
| Last updated | 03/06/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ROSENDO VILLARREAL
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