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NPI Code Detail

MEDICARE: EDNA KARINA VILLEGAS PA-C

MEDICARE: EDNA KARINA VILLEGAS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA09097TX

General Provider Information

NPI Number : 1427475888
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDNA KARINA VILLEGAS PA-C
Provider Business Mailing Address
First Line : 1410 S FRY RD
Second Line :
City : KATY
State : TX
Zip : 77450-4319
Country : US
Telephone Number : 972-957-3000
Fax Number :
Provider Business Practice Location Address
First Line : 20403 FM 529 RD STE 200
Second Line :
City : CYPRESS
State : TX
Zip : 77433-5379
Country : US
Telephone Number : 281-656-4041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2014
Last Update Date : 05/03/2018

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Directions to “ EDNA KARINA VILLEGAS PA-C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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