Frank Villanueva, COTA

Individual provider Active NPI Skilled Nursing Facility · Denver City, TX

NPI 1750904264 · NPPES record last updated May 19, 2020

Key facts

NPI
1750904264
Entity type
Individual (NPI type 1)
Primary specialty
Skilled Nursing Facility 314000000X
License
216206 (TX)
Practice address
711 W Broadway St
Denver City, TX 79323-3000
Phone
(956) 257-9379
NPI assigned
May 19, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
216206TXMDSkilled Nursing Facility

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 216206 TX Yes

Addresses

Primary practice location

711 W Broadway St
Denver City, TX 79323-3000

Mailing address

8858 Clavel Dr
El Paso, TX 79907-4928
Phone (956) 257-9379

Other providers in Denver City, TX

All providers in Denver City, TX · Skilled Nursing Facility in Texas

Sources for this page

Verify at the official NPI Registry.