MEDICARE: DR. ADAM VILLALBA M.D.

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
1	207P00000X	Emergency Medicine Physician	R5336	TX

General Provider Information

NPI Number	:	1750768248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM VILLALBA M.D.

Provider Business Mailing Address
First Line	:	313 W 17TH ST UNIT 2301
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-1298
Country	:	US
Telephone Number	:	915-861-3634
Fax Number	:	512-256-9848

Provider Business Practice Location Address
First Line	:	313 W 17TH ST UNIT 2301
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-1298
Country	:	US
Telephone Number	:	915-861-3634
Fax Number	:	512-256-9848

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2015
Last Update Date	:	05/11/2026

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Directions to “ DR. ADAM VILLALBA M.D.” Practice Location

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