Provider Demographics
NPI:1124265343
Name:VILLAQUATRO ENTERPRISES, INC. D.B.ASURGICAL ASSISTANTS OF WEST HOUSTON
Entity type:Organization
Organization Name:VILLAQUATRO ENTERPRISES, INC. D.B.ASURGICAL ASSISTANTS OF WEST HOUSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:REILLY
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:713-703-2823
Mailing Address - Street 1:2910 COMMERCIAL CENTER BLVD # 103129
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6583
Mailing Address - Country:US
Mailing Address - Phone:713-703-2823
Mailing Address - Fax:281-497-0825
Practice Address - Street 1:2910 COMMERCIAL CENTER BLVD # 103129
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6583
Practice Address - Country:US
Practice Address - Phone:713-703-2823
Practice Address - Fax:281-497-0825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-09
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX542393163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty