DR. MICHELLE VILLA-OLVERA, MD
Medical Practice at Madison Oak Dr, San Antonio, TX

License number
Texas J7863
Category
Medical Practice
Type
Obstetrics & Gynecology
Address
Address
502 Madison Oak Dr SUITE 440, San Antonio, TX 78258
Phone
(210) 946-1300
(210) 946-1700 (Fax)
National Provider ID: 1932102266
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHELLE VILLA-OLVERA, M.D., PA

San Antonio, TX

Doing business as:
Michelle Villa-Olvera, M.D., PA
Registration:
Jul 14, 1997
Addresses:
502 Madison Oak Dr STE 440, San Antonio, TX 78258 (Mailing)
8715 Vlg Dr, San Antonio, TX 78217
State ID:
0081826603
Business type:
Professional Association
Treasurer, Director , Member:
Michelle M. Villa-Olvera (Treasurer, Director , Member)
Agent:
Michelle M Villa-Olvera,502 Madison Oak Dr, San Antonio, TX 78258 (Physical)
TIN:
32036009010

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