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General NPI Number Information
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NPI Number | 1568185783
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Entity Type | Organization
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Legal Business Name | JOSE L. VILLALOBOS, JR. , MD, PA
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Dates
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Enumeration Date | 09/22/2022
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 4970 N EXPRESSWAY STE B
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City | BROWNSVILLE
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State | TX
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Zip | 78526-4269
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Country | US
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Telephone | 956-609-4430
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Fax | 956-446-9902
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Provider Business Mailing Address
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Address Line | 4970 N EXPRESSWAY STE B
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City | BROWNSVILLE
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State | TX
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Zip | 78526-4269
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Country | US
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Telephone | 956-609-4430
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Fax | 956-446-9902
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSE LUIS VILLALOBOS JR.
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Credential | MD
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Telephone | 956-755-9614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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