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NPI Code Detail

MEDICARE: MARIEL VALDEZ PHARM.D.

MEDICARE: MARIEL VALDEZ PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist54881TX

General Provider Information

NPI Number : 1023424512
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIEL VALDEZ PHARM.D.
Provider Business Mailing Address
First Line : 1515 LOCKWOOD DR
Second Line :
City : HOUSTON
State : TX
Zip : 77020-4725
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1515 LOCKWOOD DR
Second Line :
City : HOUSTON
State : TX
Zip : 77020-4725
Country : US
Telephone Number : 713-674-7465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2014
Last Update Date : 07/07/2014

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Directions to “ MARIEL VALDEZ PHARM.D.” Practice Location

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