Provider Demographics
NPI:1699587535
Name:VILLALONGA MARTINEZ, ARNALDO
Entity type:Individual
Prefix:
First Name:ARNALDO
Middle Name:
Last Name:VILLALONGA MARTINEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 WATERDANCE LN APT 822
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-6235
Mailing Address - Country:US
Mailing Address - Phone:832-275-5122
Mailing Address - Fax:
Practice Address - Street 1:2040 W NORTHWEST HWY # 120
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-2316
Practice Address - Country:US
Practice Address - Phone:469-567-3502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11037324363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily