Provider Demographics
NPI:1952947863
Name:COLLINS VILLARES, LUISA ANGELES (APRN,FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:LUISA ANGELES
Middle Name:
Last Name:COLLINS VILLARES
Suffix:
Gender:F
Credentials:APRN,FNP-C, PMHNP-BC
Other - Prefix:MRS
Other - First Name:LUISA ANGELES
Other - Middle Name:
Other - Last Name:COLLINS VILLARES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6805 MAIN ST.
Mailing Address - Street 2:STE 430 #660
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056
Mailing Address - Country:US
Mailing Address - Phone:210-643-9297
Mailing Address - Fax:
Practice Address - Street 1:7777 FOREST LN STE 833
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2571
Practice Address - Country:US
Practice Address - Phone:972-566-4591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-26
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144075363LF0000X, 363LP0808X
TX864922163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse