Villanueva, Renelyn Villadarez

Villanueva, Renelyn Villadarez is an sole proprietor health care provider with primary practice located at 2100 Cannon Dr , Mansfield TX 76063-3476. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Villanueva, Renelyn Villadarez can be contacted via phone (817) 779-6500.

Contact Information

Primary practice address
2100 Cannon Dr Mansfield TX 76063-3476
Fax:
Website:

Health care specialties

Profile Details

NPI number 1679056410
LBN Legal business name Villanueva, Renelyn Villadarez
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2018
Last updated Sep 7th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679056410 NPPES
Texas Other 1212275 PROFESSIONAL LICENSE NUMBER

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