Physician Compare National (NPI:1861417552)

HEALTHCARE PROVIDER: DAVID H VILLARREAL MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1861417552
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466587357
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100317000521
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VILLARREAL
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HILLCREST PHYSICIAN SERVICES
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1153304456
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	88
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	140 HILLCREST MEDICAL BLVD
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	WACO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	767128897
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450083
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EAST TEXAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	500058
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KADLEC REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y