Provider Demographics
NPI:1982653481
Name:VILLAR, JOSEPH ROXAS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ROXAS
Last Name:VILLAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 JAMES BOWIE DR
Mailing Address - Street 2:STE B103
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-3367
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1610 JAMES BOWIE DR
Practice Address - Street 2:STE B103
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-3367
Practice Address - Country:US
Practice Address - Phone:281-422-3134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0234208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics