Individual provider Active NPI

Dameiro Villalobos Boscan

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1861344475
Registry record updated Feb 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1075533 Issued in TX
Practice address
1200 Binz St
Houston, TX 77004-6900
Phone
(713) 520-1210
NPI assigned
Feb 14, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1075533 TX Primary

Addresses

Primary practice location

1200 Binz St
Houston, TX 77004-6900

Mailing address

23822 River Place Dr
Katy, TX 77494-2841
Phone (346) 762-9070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1110 N Loop 336
Suite 320
Conroe, TX 77301-1197

1200 Binz St
Houston, TX 77004-6997

25511 Budde Rd
The Woodlands, TX 77380-2080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1075533TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1771027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771027200000",
    "number": "1861344475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23822 RIVER PLACE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942841",
            "telephone_number": "346-762-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046900",
            "telephone_number": "713-520-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS BOSCAN",
        "first_name": "DAMEIRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-14",
        "last_updated": "2026-02-14",
        "certification_date": "2026-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1075533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.