DR. STEPHANIE VILLARREAL (NPI# 1023456407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023456407 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE VILLARREAL |
| Credential | M.D. |
| Practice Address |
701 W 5th St Odessa TX 79763-4206 |
| Mailing Address |
701 W 5th St Ste 3142 Odessa TX 79763-4206 |
| Practice Telephone | 4323352222 |
| Mailing Telephone | 4327035310 |
| Mailing Fax Number | 4323355354 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Q7978 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | BP10046055 | TX | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998595 | Stephanie Lynn Villarreal | Nurse Practitioner | 17347 Village Green Drive, Houston, TX 77040 | 2019-02-12 |
| 1629598701 | Stephanie Villarreal | Marriage & Family Therapist | 741 Piedmont Ave Ne Ste 200, Atlanta, GA 30308 | 2017-06-21 |
| 1548805203 | Stephanie Marie Villarreal | Specialist/Technologist | 3507 Jaime Zapata Memorial Hwy, Laredo, TX 78043-4769 | 2019-11-16 |
| Street Address |
701 W 5TH ST |
| City | ODESSA |
| State | TX |
| Zip Code | 79763-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407845084 | Texas Tech University Health Sciences Center Odessa | Internal Medicine | 701 W 5th St, Odessa, TX 79763-4206 | 2005-10-17 |
| 1568075117 | Bibek Bakhati | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2020-08-24 |
| 1972112852 | Priya Darshini Velumani | Internal Medicine | 701 W 5th St, Odessa, TX 79763-4206 | 2020-07-28 |
| 1811505274 | Hina Tariq | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2020-07-21 |
| 1710595350 | Prince Richardson Lemuel Ernest | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2020-07-20 |
| 1952939951 | Goutami Mangu | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2020-03-27 |
| 1790337483 | Mandeep Kaur Sidhu | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2019-07-12 |
| 1174185292 | Andrey Mironenko | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2019-06-29 |
| 1043872120 | Govind Jha | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2019-06-28 |
| 1447811682 | Juan Guillermo Sierra David | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2019-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164885 | Mary Ewusie | Pharmacist | 2450 West Loop 3378, Odessa, TX 79763 | 2020-11-03 |
| 1982231569 | Yashica Patel | Student in an Organized Health Care Education/Training Program | 701 W. 5th St, Suite 1229, Odessa, TX 79763 | 2020-03-24 |
| 1144740457 | Devi Priya Suravajjala | Student in an Organized Health Care Education/Training Program | 701,w 5th Street, Odessa, TX 79763 | 2017-06-27 |
| 1649640392 | Elesea Celeste Villegas | Physician Assistant | 701 West 5th Street, Odessa, TX 79763 | 2015-10-06 |
| 1790046472 | Kathryn Nichole Hutton | Obstetrics & Gynecology | 701 W 5th Street, Odessa, TX 79763 | 2012-05-30 |
| 1962761791 | Marvin Ryan Harvey | Family Medicine | 701 W 5th St Ste 3174, Odessa, TX 79763 | 2012-05-14 |
| 1245529544 | Yvette Garcia | Counselor | 1012 W Macarthur, Odessa, TX 79763 | 2011-04-07 |
| 1386973873 | Patty Denise Pena | Pharmacist | 1305 W County Rd, Odessa, TX 79763 | 2009-12-14 |
| 1508002262 | Javier E Espinoza | Physician Assistant | 1220 W. University, Odessa, TX 79763 | 2008-12-31 |
| 1952584690 | J A Mayans Md Pa | Ophthalmology | 907 W Second St, Odessa, TX 79763 | 2007-12-17 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1487173357 | Manisha Desai | Pediatrics | 400 East 6th Street Ste 100, Odessa, TX 79761-6947 | 2017-09-12 |
| 1982806436 | Arpita Vyas | Pediatrics | 701 W 5th St Ste 2106, Odessa, TX 79763-4206 | 2007-06-05 |
| 1982732178 | Kingsley C Okonkwo | Pediatrics | 2461 E 11th St Ste A, Odessa, TX 79761 | 2007-03-01 |
| 1932244936 | Rajani Reddy | Pediatrics | 611 North Golder, Odessa, TX 79761 | 2007-02-20 |
| 1417030693 | Migdalia Monzon | Pediatrics | 850 Tower Drive, Suite 106, Odessa, TX 79761 | 2006-10-23 |
| 1063428647 | Manisha Mahadev Desai | Pediatrics | 29 Dolores Ct, Odessa, TX 79765-8544 | 2006-08-01 |
| 1508881467 | Melody N Baade | Pediatrics | 1850 Crossings Blvd Unit 100, Odessa, FL 33556-6106 | 2006-07-13 |
| 1841292976 | Violeta F Bello | Pediatrics | 303 E 7th St, Odessa, TX 79761 | 2005-06-01 |
| 1588149991 | Peds Center of Round Rock Pa | Pediatrics | 420 E 6th St Ste 203, Odessa, TX 79761-4572 | 2018-10-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.