Provider Demographics
NPI:1013222447
Name:VILLARREAL, DANIEL A JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:A
Last Name:VILLARREAL
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 W BUSINESS 83
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-5632
Mailing Address - Country:US
Mailing Address - Phone:956-447-3781
Mailing Address - Fax:
Practice Address - Street 1:1701 W BUSINESS 83
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-5632
Practice Address - Country:US
Practice Address - Phone:956-447-3781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48695183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist