Provider Demographics
NPI:1972898948
Name:VILLARREAL, ABEL R (ATP)
Entity Type:Individual
Prefix:MR
First Name:ABEL
Middle Name:R
Last Name:VILLARREAL
Suffix:
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W SINTON ST
Mailing Address - Street 2:
Mailing Address - City:SINTON
Mailing Address - State:TX
Mailing Address - Zip Code:78387-2552
Mailing Address - Country:US
Mailing Address - Phone:361-364-3534
Mailing Address - Fax:361-364-5575
Practice Address - Street 1:101 W SINTON ST
Practice Address - Street 2:
Practice Address - City:SINTON
Practice Address - State:TX
Practice Address - Zip Code:78387-2552
Practice Address - Country:US
Practice Address - Phone:361-364-3534
Practice Address - Fax:361-364-5575
Is Sole Proprietor?:No
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4843247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other