Organization Active NPI

J.a.Villarreal M.D., P.a.

  • Obstetrics & Gynecology Physician
  • Corpus Christi, TX
National Provider Identifier
1467539858
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H3292 Issued in TX
Legal business name
J.A.VILLARREAL M.D., P.A.
Practice address
13725 Northwest Blvd
Suite #110
Corpus Christi, TX 78410-5127
Phone
(361) 387-7177
Fax
(361) 387-8355
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Mrs. Yolanda G Villarreal
Title
Office Administrator
Phone
(361) 387-7177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X H3292 TX Primary

Addresses

Primary practice location

13725 Northwest Blvd
Suite #110
Corpus Christi, TX 78410-5127

Mailing address

13725 Northwest Blvd
Suite #110
Corpus Christi, TX 78410-5127
Phone (361) 387-7177

Other identifiers 1

IdentifierTypeStateIssuer
116026902MedicaidTX

National Provider Directory

National Provider Directory

Locations

13725 Northwest Blvd
Ste 110
Corpus Christi, TX 78410
Phone (361) 387-7177

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1467539858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13725 NORTHWEST BLVD",
            "address_2": "SUITE #110",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105127",
            "telephone_number": "361-387-7177",
            "fax_number": "361-387-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13725 NORTHWEST BLVD",
            "address_2": "SUITE #110",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105127",
            "telephone_number": "361-387-7177",
            "fax_number": "361-387-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.A.VILLARREAL M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "361-387-7177",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H3292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116026902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.