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NPI Code Detail

MEDICARE: EDITA VILLAFANA

MEDICARE:   EDITA  VILLAFANA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1053246975
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDITA VILLAFANA
Provider Business Mailing Address
First Line : 1120 SHINE LN
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-1446
Country : US
Telephone Number : 732-347-4833
Fax Number :
Provider Business Practice Location Address
First Line : 1120 SHINE LN
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-1446
Country : US
Telephone Number : 732-347-4833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2026
Last Update Date : 06/13/2026

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Directions to “ EDITA VILLAFANA ” Practice Location

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