Mary Villarreal

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

345637 Issued in TX

Practice address

24715 Marks Rd
Splendora, TX 77372-3414

Phone

(281) 761-1490

NPI assigned

Oct 12, 2018

Last updated

Oct 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1790250058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24715 MARKS RD",
            "city": "SPLENDORA",
            "state": "TX",
            "postal_code": "773723414",
            "telephone_number": "281-761-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24715 MARKS RD",
            "city": "SPLENDORA",
            "state": "TX",
            "postal_code": "773723414",
            "telephone_number": "281-761-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "345637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mari Carla Suarez
• Isaac Ray Taylor
• The Order of Love Peace Truth Tolerance and Cooperation (TBT Co-op Clinics)
• Rhema Thomas
• Universal Wellness and Health
• VNP Creative Care Inc (Splendora Pharmacy)
• VNP Creative Care Inc (Splendora Pharmacy)
• Woodrome Medical PA
• Robert Gale Woodrome, M.D.
• Your Home Physician Inc.

• Licensed Practical Nurse in Splendora, TX
• Providers in Splendora, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.