Randy Villanueva MD PC
Internal Medicine in Germantown, TN. Organization (NPI-2).
NPI number1760630628
StatusActive
Last updated in NPPESSep 9, 2008
Details
- NPI
- 1760630628
- Entity type
- Organization (NPI-2)
- Legal business name
- Randy Villanueva MD PC
- Organization subpart
- No
- Enumeration date
- Sep 4, 2008
- Last updated
- Sep 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 39777 | TN | Yes |
Practice location
3025 N Windstone Way LnGermantown, TN 38138-7383
Phone 901-590-0103
Mailing address
3025 N Windstone Way LnGermantown, TN 38138-7383
Phone 901-590-0103
Authorized official
Randy Joseph Lee Villanueva
Owner/President
9015900103
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