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General NPI Number Information
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NPI Number | 1487661781
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Entity Type | Individual
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Provider Name | JOSE L VILLA JR. DNP, APRN, FNP, BC
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 311 FUTURE DR
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City | SAN ANTONIO
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State | TX
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Zip | 78213-3481
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Country | US
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Telephone | 210-595-1182
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Fax | 210-595-1183
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Provider Business Mailing Address
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Address Line | 11322 ACORN BLF
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City | SAN ANTONIO
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State | TX
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Zip | 78254-4822
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Country | US
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Telephone | 210-859-2531
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Fax | 210-595-1183
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | AP111090
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | AP111090
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | AP111090
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | AP111090
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP111090
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP111090
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License Number State | TX
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