| Christopher Villarreal, PA | |
|
510 E Main St, Antlers, OK 74523-3262 | |
| (580) 298-3341 | |
| (580) 298-2206 |
| Full Name | Christopher Villarreal |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 29 Years |
| Location | 510 E Main St, Antlers, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952393381 | NPI | - | NPPES |
| 100159270A | Medicaid | OK | |
| 1691888 | Other | OK | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA05868 (Texas) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1691888 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Coal County General Hospital, Inc. | Coalgate, OK | Hospital |
| Pushmataha County Town Of Antlers Hospital | Antlers, OK | Hospital |
| Exceptional Community Hospital Ardmore | Ardmore, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rowland Flatt Hugo Rural Health Clinic | 2466486329 | 7 |
| Exceptional Physicians Group Ardmore Hospital Pllc | 8921542622 | 22 |
| Rowland Flatt Clinic | 9830186824 | 11 |
| Entity Name | Wise Emergency Medicine Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366558264 PECOS PAC ID: 2769449727 Enrollment ID: O20041213000078 |
| Entity Name | Concord Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Concord Medical Group of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | South Central Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20211104000616 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Villarreal, PA Po Box 518, Antlers, OK 74523-0518 Ph: (580) 298-3341 | Christopher Villarreal, PA 510 E Main St, Antlers, OK 74523-3262 Ph: (580) 298-3341 |
Robert Anthony Oldham, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 603 Ne 2nd St, Antlers, OK 74523 Phone: 580-298-3351 Fax: 580-298-6137 |