Active NPI
Patricio T Villarreal, MD
- Emergency Medicine Physician
- Jourdanton, TX
National Provider Identifier
1033199542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- J0336
- Practice address
- 1905 Highway 97 E
Emergency Room
Jourdanton, TX 78026-1504 - Phone
- (830) 769-5204
- Fax
- (830) 769-5206
- NPI assigned
- Jan 19, 2006
- Last updated
- Mar 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | J0336 | TX | Primary |
Addresses
Primary practice location
1905 Highway 97 E
Emergency Room
Jourdanton, TX 78026-1504
Mailing address
2310 E Highway 97
Pleasanton, TX 78064-6516
Phone (830) 281-2868
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139610305 | Medicaid | TX | |
| 0083GG | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J0336 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rajeev Sareen, MD | Past | Accepting new patients | |
| Atascosa Urgent Care Medical Clinic PA | Past | Accepting new patients | |
| Step Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Alejandra Moreno MD PA | Past | Accepting new patients | |
| Atascosa Emergency Medicine Associates PA | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Jourdanton, TX
- NPI 1750527966
-
- Emergency Medicine Physician
- Jourdanton, TX
- NPI 1891017844
-
- Urgent Care Clinic/Center
- Pleasanton, TX
- NPI 1568735041
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jourdanton, TX
- NPI 1205026416
-
- Emergency Medicine Physician
- Floresville, TX
- NPI 1609826460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1033199542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 E HIGHWAY 97",
"city": "PLEASANTON",
"state": "TX",
"postal_code": "780646516",
"telephone_number": "830-281-2868",
"fax_number": "830-281-8521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 HIGHWAY 97 E",
"address_2": "EMERGENCY ROOM",
"city": "JOURDANTON",
"state": "TX",
"postal_code": "780261504",
"telephone_number": "830-769-5204",
"fax_number": "830-769-5206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "PATRICIO",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "J0336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139610305",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0083GG",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jourdanton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.