Healthcare Provider Details

I. General information

NPI: 1427243815
Provider Name (Legal Business Name): HECTOR R. VILLASENOR, M.D.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2007
Last Update Date: 09/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N. SAN SABA ST.
SAN ANTONIO TX
78207-3153
US

IV. Provider business mailing address

401 N. SAN SABA ST.
SAN ANTONIO TX
78207-3153
US

V. Phone/Fax

Practice location:
  • Phone: 210-223-7500
  • Fax: 210-472-1818
Mailing address:
  • Phone: 210-223-7500
  • Fax: 210-472-1818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberF3371
License Number StateTX

VIII. Authorized Official

Name: MR. HECTOR R. VILLASENOR
Title or Position: PHYSICIAN/OWNER
Credential: M.D.
Phone: 210-223-7500