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NPI Code Detail

MEDICARE: ASHLEY VILLARREAL

MEDICARE: ASHLEY VILLARREAL
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
1363LF0000XFamily Nurse Practitioner1228525TX

General Provider Information

NPI Number : 1710813563
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY VILLARREAL
Provider Business Mailing Address
First Line : 307 S ROBERTSON BLVD
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-3602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12819 SOUTHBOROUGH LN
Second Line :
City : HOUSTON
State : TX
Zip : 77047-2227
Country : US
Telephone Number : 713-898-3794
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2026
Last Update Date : 06/19/2026

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Directions to “ ASHLEY VILLARREAL ” Practice Location

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