Organization Active NPI

Diana Villarreal, M.D., P.a.

  • Adult Mental Health Clinic/Center
  • Galveston, TX
National Provider Identifier
1134411473
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
GO239 Issued in TX
Legal business name
DIANA VILLARREAL, M.D., P.A.
Practice address
1917 Broadway St
Suite 2
Galveston, TX 77550-8723
Phone
(409) 762-0177
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Diana Villarreal, M.D.
Title
President
Phone
(409) 762-0177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X GO239 TX Primary

Addresses

Primary practice location

1917 Broadway St
Suite 2
Galveston, TX 77550-8723

Mailing address

1917 Broadway St
Suite 2
Galveston, TX 77550-8723
Phone (409) 762-0177

National Provider Directory

National Provider Directory

Locations

1917 Broadway St
Ste 2
Galveston, TX 77550
Phone (409) 761-7378

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1134411473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 BROADWAY ST",
            "address_2": "SUITE 2",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775508723",
            "telephone_number": "409-762-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 BROADWAY ST",
            "address_2": "SUITE 2",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775508723",
            "telephone_number": "409-762-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA VILLARREAL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-762-0177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "GO239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.