=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962209957
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SINGING HILLS 7TO7 PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2025
-----------------------------------------------------
Last Update Date | 04/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 427 SINGING OAKS STE 102
-----------------------------------------------------
City | SPRING BRANCH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78070-6508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-495-2000
-----------------------------------------------------
Fax | 210-495-2001
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2211 NW MILITARY HWY STE 127B
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78213-1859
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-495-2000
-----------------------------------------------------
Fax | 210-495-2001
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OPERATIONS TEAM
-----------------------------------------------------
Name | ANDREA CAROLINA VILLARREAL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 210-495-2000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QD0000X
-----------------------------------------------------
Taxonomy Name | Dental Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------