Provider Demographics
NPI:1740521400
Name:VILLARREAL, BRANDI NICHOLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRANDI
Middle Name:NICHOLE
Last Name:VILLARREAL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:NICHOLE
Other - Last Name:MCGEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:310 N WESTGATE DR
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-2700
Mailing Address - Country:US
Mailing Address - Phone:956-447-5912
Mailing Address - Fax:
Practice Address - Street 1:310 N WESTGATE DR
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-2700
Practice Address - Country:US
Practice Address - Phone:956-447-5912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-06
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52095183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist