Villa Medical Group
Clinic/Center, Multi-Specialty in Sugar Land, TX. Organization (NPI-2).
NPI number1013584366
StatusActive
Last updated in NPPESJun 7, 2021
Details
- NPI
- 1013584366
- Entity type
- Organization (NPI-2)
- Legal business name
- Villa Medical Group
- Organization subpart
- No
- Enumeration date
- Jun 7, 2021
- Certification date
- Jun 7, 2021
- Last updated
- Jun 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | |
| 207YS0012X | Otolaryngology, Sleep Medicine | – | – | |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – |
Practice location
14833 Southwest FwySugar Land, TX 77478-5016
Phone 281-207-8858
Mailing address
4411 Bluebonnet Dr Ste 106Stafford, TX 77477-2912
Phone 281-900-9750
Authorized official
Todd Richey
Ceo
7138989671
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