David F Villacres Mdpa

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

DAVID F VILLACRES MDPA

Practice address

3407 Rivers Edge TRL
Kingwood, TX 77339-2634

Phone

(281) 361-5990

Fax

(281) 361-5883

NPI assigned

Jan 7, 2015

Last updated

Jan 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David F Villacres, MDNPI 1245267343

Title

Owner

Phone

(281) 361-5990

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Fernando Villacres, MD

  • Specialist
  • Humble, TX
  • NPI 1245267343
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1891183349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 RIVERS EDGE TRL",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392634",
            "telephone_number": "281-361-5990",
            "fax_number": "281-361-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 RIVERS EDGE TRL",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392634",
            "telephone_number": "281-361-5990",
            "fax_number": "281-361-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID F VILLACRES MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "VILLACRES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-361-5990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00K35U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089831402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ermelinda Daponte - Manon, DDS
• Laura Elaine Darville, MS, RD, LD
• Anirudha Dasgupta, MD
• Anita Rani Datta, M.D.
• Ronald D Davenport, M.ED., LPC, CEAP
• David H. Steed (S.E. Gustafson, O.D. and David H. Steed, O.D.)
• David J Massey (Kingwood Spine and Wellness)
• David P Ellent PLLC (Genesis Medical Group)
• Jordyn Amir Davidson
• Kayleen Davie, LMSW

• Physical Medicine & Rehabilitation Physician in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.