Villarreal Jr, Gustavo G

Villarreal Jr, Gustavo G is an individual health care provider with primary practice located at 6901 Medical Pkwy Radiology Department, Waco TX 76712-7910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Villarreal Jr, Gustavo G can be contacted via phone (254) 751-4000.

Contact Information

Primary practice address
6901 Medical Pkwy Radiology Department Waco TX 76712-7910
Phone: (254) 751-4000
Fax: (903) 663-7394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X H8487 Texas

Profile Details

NPI number 1649231036
LBN Legal business name Villarreal Jr, Gustavo G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Aug 15th, 2013 - about 11 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 1649231036 NPPES
Texas MEDICAID 118061401
Texas MEDICAID 118061403

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