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1013116268
MARK TIMOTHY VILLA
HOUSTON, TX
NPI
1013116268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: TX M6936)
Enumeration Date
2007-07-17
Last Update Date
2010-01-19
Business Address
-- MARK TIMOTHY VILLA MD
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4095
Phone number: 713-792-6161
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Mailing Address
-- MARK TIMOTHY VILLA MD
PO BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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