Provider Demographics
NPI:1083008908
Name:VILLARREAL, RAUL SERGIO JR (MD)
Entity type:Individual
Prefix:
First Name:RAUL
Middle Name:SERGIO
Last Name:VILLARREAL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2424 BABCOCK RD STE 301
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-6031
Mailing Address - Country:US
Mailing Address - Phone:210-616-0882
Mailing Address - Fax:210-692-7833
Practice Address - Street 1:2424 BABCOCK RD STE 301
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6031
Practice Address - Country:US
Practice Address - Phone:210-616-0882
Practice Address - Fax:210-692-7833
Is Sole Proprietor?:No
Enumeration Date:2015-03-28
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS4411207RA0201X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology