Provider Demographics
NPI:1033831276
Name:VILLARREAL, NEYVA L (FNP)
Entity Type:Individual
Prefix:
First Name:NEYVA
Middle Name:L
Last Name:VILLARREAL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7135 N EXPRESSWAY 77
Mailing Address - Street 2:
Mailing Address - City:OLMITO
Mailing Address - State:TX
Mailing Address - Zip Code:78575-5312
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7135 N EXPRESSWAY 77
Practice Address - Street 2:
Practice Address - City:OLMITO
Practice Address - State:TX
Practice Address - Zip Code:78575-5312
Practice Address - Country:US
Practice Address - Phone:956-425-9181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1089860363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily