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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588660930 NPPES
Wisconsin Other 004000263A HUMANA
Wisconsin MEDICAID 34156200 HUMANA
Wisconsin Other 7767338 HUMANA

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