Villadoniga, Graciela Beatriz
Villadoniga, Graciela Beatriz is an individual health care provider with primary practice located at 2901 E 29Th St Ste 123 , Bryan TX 77802-2691. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Villadoniga, Graciela Beatriz can be contacted via phone (979) 776-9400.Contact Information
Primary practice address
2901 E 29Th St Ste 123
Bryan TX 77802-2691
Phone: (979) 776-9400
Fax: (979) 774-8903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 43963 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | N0531 | Texas |
Profile Details
| NPI number | 1588660930 |
|---|---|
| LBN Legal business name | Villadoniga, Graciela Beatriz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588660930 | NPPES |
| Wisconsin | Other | 004000263A | HUMANA |
| Wisconsin | MEDICAID | 34156200 | HUMANA |
| Wisconsin | Other | 7767338 | HUMANA |
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