Provider Demographics
NPI:1386507002
Name:VILLALPANDO, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:VILLALPANDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8801 S CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-7389
Mailing Address - Country:US
Mailing Address - Phone:512-292-8662
Mailing Address - Fax:866-520-9658
Practice Address - Street 1:8801 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-7389
Practice Address - Country:US
Practice Address - Phone:512-292-8662
Practice Address - Fax:866-520-9658
Is Sole Proprietor?:No
Enumeration Date:2025-12-09
Last Update Date:2025-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX357761183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist