Individual provider · Type 1 NPI
Blas Edward Villa, AGACNP
Gerontology Nurse Practitioner · San Antonio, TX
NPI number
1063053072
Active
Practice location
2833 Babcock Rd Ste 100
San Antonio, TX 78229-4894
Fax (210) 853-2707
Mailing address
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Other practice locations
- 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 · (210) 567-5792
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP142810 (TX) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP142810 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1063053072
Blas Edward Villa, AGACNP's National Provider Identifier is 1063053072, issued on Oct 1, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in San Antonio, TX. The record was last updated on Jul 20, 2026.