Healthcare Provider Details

I. General information

NPI: 1740410364
Provider Name (Legal Business Name): ESPERANZA VILLALOBOS C.N.H.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2009
Last Update Date: 07/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 MAIN ST
ANTHONY TX
79821-7246
US

IV. Provider business mailing address

1005 MAIN ST
ANTHONY TX
79821-7246
US

V. Phone/Fax

Practice location:
  • Phone: 915-886-2288
  • Fax: 915-886-2484
Mailing address:
  • Phone: 915-886-2288
  • Fax: 915-886-2484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: