Active NPI
Gustavo E Villarreal, M.D.
- Family Medicine Physician
- Alice, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G6038
- Practice address
- 2510 E Main St Ste 108
Alice, TX 78332-4188 - Phone
- (361) 661-8105
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 742380876 | TX | |
| Family Medicine Physician | 207Q00000X | G6038 | TX | Primary |
Addresses
Primary practice location
2510 E Main St Ste 108
Alice, TX 78332-4188
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 606-6400
Other practice location 1
208 Shiloh Dr Ste 1
Laredo, TX 78045-7402
Phone (956) 722-8484
Other practice location 2
2510 E Main St Ste 110
Alice, TX 78332-4188
Phone (361) 664-8100
Other practice location 3
1311 E General Cavazos Blvd Ste I
Kingsville, TX 78363-7129
Phone (361) 592-5101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079740902 | Medicaid | TX | |
| 079740901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1311 E General Cavazos Blvd
Kingsville, TX 78363-7123
2510 E Main St
Alice, TX 78332-4188
2520 E Main St
Alice, TX 78332-4188
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
2510 E Main St
Ste 108
Alice, TX 78332
Phone (361) 661-8105
2510 E Main St
Ste 110
Alice, TX 78332
Phone (361) 396-4371
1311 Gen Cvazos Blvd
Ste I
Kingsville, TX 78363
Phone (361) 592-5101
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- gvillarreal304697@christushealth.direct-ci.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS Spohn Hospital Alice
- General Acute Care Hospital
- Alice, TX
- NPI 1003885641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1649227653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-606-6400",
"fax_number": "903-606-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 E MAIN ST STE 108",
"city": "ALICE",
"state": "TX",
"postal_code": "783324188",
"telephone_number": "361-661-8105"
}
],
"practiceLocations": [
{
"address_1": "208 Shiloh Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Laredo",
"state": "TX",
"postal_code": "780457402",
"country_code": "US",
"telephone_number": "956-722-8484",
"fax_number": "956-727-8494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2510 E Main St Ste 110",
"address_purpose": "LOCATION",
"city": "Alice",
"state": "TX",
"postal_code": "783324188",
"country_code": "US",
"telephone_number": "361-664-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1311 E General Cavazos Blvd Ste I",
"address_purpose": "LOCATION",
"city": "Kingsville",
"state": "TX",
"postal_code": "783637129",
"country_code": "US",
"telephone_number": "361-592-5101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLARREAL",
"first_name": "GUSTAVO",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "742380876",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "G6038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079740902",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079740901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alice, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.