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General NPI Number Information
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NPI Number | 1336814839
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Entity Type | Individual
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Provider Name | DAVID VILLARREAL DPT
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Gender | Male
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Dates
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Enumeration Date | 08/16/2021
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 13472 EASTLAKE BLVD
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City | HORIZON CITY
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State | TX
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Zip | 79928-6320
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Country | US
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Telephone | 915-285-0943
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Fax | 915-593-5187
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Provider Business Mailing Address
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Address Line | 10460 VISTA DEL SOL DR STE 230
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City | EL PASO
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State | TX
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Zip | 79925-7939
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Country | US
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Telephone | 915-593-4985
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Fax | 915-593-5187
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1349177
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License Number State | TX
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