Leopold Villegas III
Family Doctor
2548 Memorial Blvd
Port Arthur
, Texas 77640-2825
Leopold Villegas III
Family Doctor
2548 Memorial Blvd
Port Arthur
, Texas 77640-2825
(409) 983-4933
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Leopold Villegas III
- 2548 Memorial Blvd
- Port Arthur, TX
- Zip : 77640-2825
- Fax : (409) 983-4933
- Phone : (409) 983-1161
Second Address
- Leopold Villegas III
- 2548 Memorial Blvd
- Port Arthur, TX
- Zip : 77640-2825
- Fax : (409) 983-4933
- Phone : (409) 983-1161
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | G7763 | TX |
National Provider Identifier
| NPI | 1003815093 |
|---|---|
| Provider Name | Leopold Villegas III |
| First Address | Port Arthur, TX 77640-2825 |
| Second Address | Port Arthur, TX 77640-2825 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B27341 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.