Villacres, David Fernando

Villacres, David Fernando is an individual health care provider with primary practice located at 3407 Rivers Edge Trl , Humble TX 77339-2634. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Villacres, David Fernando can be contacted via phone (281) 361-5990.

Contact Information

Primary practice address
3407 Rivers Edge Trl Humble TX 77339-2634
Fax: (281) 361-5883
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X H7099 Texas

Profile Details

NPI number 1245267343
LBN Legal business name Villacres, David Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Sep 26th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245267343 NPPES
Texas MEDICAID 089831402

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