| Doctor Name: | LAUREN ASHLEY VILLARREAL |
| NPI Number: | 1326381674 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 817574 |
| Business Practice Address: | 351 N Sam Houston Blvd San Benito, TX - 785864656 |
| Business Phone Number: | 9563992443 |
| Business Fax Number: | 9563996331 |
| Mailing Address: | 351 N Sam Houston Blvd, SAN BENITO |
| State: | TX |
| Postal Code: | 785864656 |
| Phone Number: | 9563992443 |
| Fax Number: | 9563996331 |
| NPI Enumeration Date: | 04/04/2013 |
| NPI Last Update Date: | 08/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 817574 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |