Healthcare Provider Details

I. General information

NPI: 1780286039
Provider Name (Legal Business Name): ESTRELLA CATHERINE B VILLARREAL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2020
Last Update Date: 01/09/2022
Certification Date: 01/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10807 PERRIN BEITEL RD STE 300
SAN ANTONIO TX
78217-3144
US

IV. Provider business mailing address

10 MORGANS BLF
SAN ANTONIO TX
78216-8504
US

V. Phone/Fax

Practice location:
  • Phone: 210-245-7862
  • Fax:
Mailing address:
  • Phone: 210-264-9375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number785463
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1017820
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: