Villareal, Robert

Villareal, Robert is an individual health care provider with primary practice located at 2950 S Elm Pl Suite 160, Broken Arrow OK 74012-7877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Villareal, Robert can be contacted via phone (918) 449-3750.

Contact Information

Primary practice address
2950 S Elm Pl Suite 160 Broken Arrow OK 74012-7877
Phone: (918) 449-3750
Fax: (918) 449-3755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23592 Oklahoma

Profile Details

NPI number 1629046883
LBN Legal business name Villareal, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Sep 29th, 2022 - about 3 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 1629046883 NPPES
Oklahoma MEDICAID 200012750A

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