Marissa J Villarreal in Alice - Physician Assistant
Marissa J Villarreal - NPI 1164419156
Marissa J Villarreal is a Physician Assistant in Alice, Texas. Marissa J Villarreal practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marissa J Villarreal is 1164419156. The last update date is 2014-04-09.
Marissa J Villarreal's current location address is 204 E 1st St, Alice, Texas. You can contact this provider via phone number 3616640145 and fax number 3616642248. The mailing address for Marissa J Villarreal is 204 E 1st St, Alice, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marissa J Villarreal |
|---|---|
| Address | 204 E 1st St, Alice, Texas |
| Phone Number | 3616640145 |
| Fax Number | 3616642248 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1164419156 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2014-04-09 |
Provider Mailing Address Detail
| Address | 204 E 1st St |
|---|---|
| City | Alice |
| State | Texas (TX) |
| Post Code | 783324822 |
| Phone Number | 3616640145 |
| Fax Number | 3616642248 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | C03187 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201815201 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marissa J Villarreal?
The Marissa J Villarreal has been issued the NPI (National Provider Identifier) 1164419156 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Marissa J Villarreal is located?
The Marissa J Villarreal is situated at the following address: 204 E 1St St, Alice, TX, 783324822.
What is the Marissa J Villarreal's area of specialization and corresponding taxonomy classification?
The Marissa J Villarreal's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1164419156 to Marissa J Villarreal?
The Centers for Medicare & Medicaid Services assigned the 1164419156 to Marissa J Villarreal on 2005-10-04.
As of what date was the information pertaining to Marissa J Villarreal, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marissa J Villarreal, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-04-09.
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