Villarreal, Javier R.

Villarreal, Javier R. is an individual health care provider with primary practice located at 4510 Medical Center Dr Ste 211 , Mckinney TX 75069-1602. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Villarreal, Javier R. can be contacted via phone (469) 541-1600.

Contact Information

Primary practice address
4510 Medical Center Dr Ste 211 Mckinney TX 75069-1602
Phone: (469) 541-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 626943 Texas

Profile Details

NPI number 1063498988
LBN Legal business name Villarreal, Javier R.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Sep 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063498988 NPPES
Oklahoma MEDICAID 200416020A
Oklahoma MEDICAID 161070107
Oklahoma MEDICAID 161070102
Oklahoma MEDICAID 161070104
Oklahoma MEDICAID 161070106
Oklahoma Other 85322U

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