Provider Demographics
NPI:1427243815
Name:HECTOR R. VILLASENOR, M.D.,P.A.
Entity type:Organization
Organization Name:HECTOR R. VILLASENOR, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:R
Authorized Official - Last Name:VILLASENOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-223-7500
Mailing Address - Street 1:401 N. SAN SABA ST.
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-3153
Mailing Address - Country:US
Mailing Address - Phone:210-223-7500
Mailing Address - Fax:210-472-1818
Practice Address - Street 1:401 N. SAN SABA ST.
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3153
Practice Address - Country:US
Practice Address - Phone:210-223-7500
Practice Address - Fax:210-472-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3371174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB27339Medicare UPIN