Gustavo G Villarreal Jr in Longview - Diagnostic Radiology

Gustavo G Villarreal Jr - NPI 1649231036

Gustavo G Villarreal Jr is a Diagnostic Radiology in Longview, Texas. Gustavo G Villarreal Jr practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Gustavo G Villarreal Jr is 1649231036. The last update date is 2013-08-15.

Gustavo G Villarreal Jr's current location address is 4777 Us Highway 259, Longview, Texas. You can contact this provider via phone number 9036634800 and fax number 9036637394. The mailing address for Gustavo G Villarreal Jr is 4777 Us Highway 259, Longview, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Gustavo G Villarreal Jr
Address 4777 Us Highway 259, Longview, Texas
Phone Number 9036634800
Fax Number 9036637394
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1649231036
Provider Enumeration Date 2006-03-28
Last Updated Date 2013-08-15

Provider Mailing Address Detail

Address 4777 Us Highway 259
City Longview
State Texas (TX)
Post Code 756057668
Phone Number 9036634800
Fax Number 9036637394

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No H8487
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
118061401 TX --
118061403 TX --

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FAQs about Gustavo G Villarreal Jr

What is the unique 10-digit identifier code issued to Gustavo G Villarreal Jr by the Centers for Medicare & Medicaid Services?

The Gustavo G Villarreal Jr has been assigned the NPI (National Provider Identifier) 1649231036 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Gustavo G Villarreal Jr?

The Gustavo G Villarreal Jr is situated at 4777 Us Highway 259, in the city of Longview, state of TX, with the zip code 756057668.

What is the area of specialization for Gustavo G Villarreal Jr, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Gustavo G Villarreal Jr is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

On what date did the Gustavo G Villarreal Jr receive the assignment of its 1649231036 from the Centers for Medicare & Medicaid Services?

The Gustavo G Villarreal Jr was issued its 1649231036 by the Centers for Medicare & Medicaid Services on 2006-03-28.

As of what date was the information regarding Gustavo G Villarreal Jr, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gustavo G Villarreal Jr, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-08-15.

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