MEDICARE: DR. MARK CHARLIE VALENTE D.O.

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
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	N7365	TX

General Provider Information

NPI Number	:	1194930453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK CHARLIE VALENTE D.O.

Provider Business Mailing Address
First Line	:	6200 PRESTON RD STE 300
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-2619
Country	:	US
Telephone Number	:	972-707-0005
Fax Number	:	888-992-6199

Provider Business Practice Location Address
First Line	:	6200 PRESTON RD STE 300
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-2619
Country	:	US
Telephone Number	:	972-707-0005
Fax Number	:	888-992-6199

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	05/27/2021

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