CHRISTOPHER VILLARREAL P.A. NPI 1952393381

NPI Information

NPI: 1952393381
Provider Name: CHRISTOPHER VILLARREAL, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
510 E MAIN ST
ANTLERS, OK
ZIP 74523
Phone: (580) 298-3341
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Christopher Villarreal, P.A. is a medical physician assistant in Antlers, OK with 27 years of experience. Christopher Villarreal, P.A. NPI is 1952393381. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

510 E MAIN ST
ANTLERS, OK
ZIP 74523-262
Phone: (580) 298-3341
Fax: (580) 298-2206

The NPI 1952393381 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 10/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA05868	TEXAS	No
2	363AM0700X	Physician Assistant	Medical	1691888	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8L18884	MEDICARE PIN	TEXAS
2	244502506	MEDICARE ID-TYPE UNSPECIFIED	OKLAHOMA
3	100159270A	MEDICAID	OKLAHOMA
4	S87627	MEDICARE UPIN	OKLAHOMA
5	8L18885	MEDICARE PIN	TEXAS
6	1691888	OTHER	OKLAHOMA	STATE LICENSE
7	8L18867	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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