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NPI Code Detail

MEDICARE: DR. CARLOS EDUARDO VILLARREAL DNP-A, CRNA

MEDICARE: DR. CARLOS EDUARDO VILLARREAL DNP-A, CRNA
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
1367500000XCertified Registered Nurse Anesthetist1106973TX

General Provider Information

NPI Number : 1639883713
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS EDUARDO VILLARREAL DNP-A, CRNA
Provider Business Mailing Address
First Line : 3107 SABERCAT AVE APT 4
Second Line :
City : EDINBURG
State : TX
Zip : 78542-3148
Country : US
Telephone Number : 956-457-1797
Fax Number :
Provider Business Practice Location Address
First Line : 2101 PEASE ST
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-8307
Country : US
Telephone Number : 956-389-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2023
Last Update Date : 06/08/2026

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