Provider Demographics
NPI:1811685472
Name:VILLALOBOS, ANA J
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:J
Last Name:VILLALOBOS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11903 BELLAIRE BLVD STE 1201
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2310
Mailing Address - Country:US
Mailing Address - Phone:832-395-5002
Mailing Address - Fax:
Practice Address - Street 1:11903 BELLAIRE BLVD STE 1201
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2310
Practice Address - Country:US
Practice Address - Phone:832-395-5002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education