DIANA VILLARREAL, M.D., P.A.
Ambulatory Health at Broadway St, Galveston, TX

License number
Texas GO239
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: DR. DIANA VILLARREAL M.D.
Title: PRESIDENT
Phone: (409) 762-0177
Address
Address
1917 Broadway St SUITE 2, Galveston, TX 77550
National Provider ID: 1134411473
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DIANA VILLARREAL, M.D., PA

1917 Broadway St STE 2, Galveston, TX 77550

Industry:
Medical Doctor's Office
Doing business as:
Diana Villarreal, M.D., PA<br>Diana Villarreal MD
Registration:
Jul 8, 1985
Phone:
(409) 762-0177 (Phone)
State ID:
0081014803
Business type:
Professional Association
President, Treasurer, Secretary, Director , Member , Vice-President:
Diana Villarreal (President, Treasurer, Secretary, Director , Member , Vice-President)
TIN:
17601482403

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