Organization · NPI-2
David F Villacres Mdpa
Physical Medicine & Rehabilitation · Kingwood, TX
NPI number1891183349
StatusActive
Last updated in NPPESJan 7, 2015
Details
- NPI
- 1891183349
- Entity type
- Organization (NPI-2)
- Legal business name
- David F Villacres Mdpa
- Organization subpart
- No
- Enumeration date
- Jan 7, 2015
- Last updated
- Jan 7, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
3407 Rivers Edge TrlKingwood, TX 77339-2634
Phone 281-361-5990 · Fax 281-361-5883
Mailing address
3407 Rivers Edge TrlKingwood, TX 77339-2634
Phone 281-361-5990 · Fax 281-361-5883
Authorized official
David F Villacres
Owner
2813615990
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