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NPI Code Detail

MEDICARE: EMMA VILLEGAS

MEDICARE:   EMMA  VILLEGAS
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
1208100000XPhysical Medicine & Rehabilitation PhysicianUO10919FL

General Provider Information

NPI Number : 1861199390
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA VILLEGAS
Provider Business Mailing Address
First Line : 76 TUBAC ST
Second Line :
City : PANORAMA VILLAGE
State : TX
Zip : 77304-1262
Country : US
Telephone Number : 817-915-1678
Fax Number :
Provider Business Practice Location Address
First Line : 925 CITY CENTRAL AVE
Second Line :
City : CONROE
State : TX
Zip : 77304-2981
Country : US
Telephone Number : 936-202-5202
Fax Number : 936-202-5230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2023
Last Update Date : 06/30/2026

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Directions to “ EMMA VILLEGAS ” Practice Location

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