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NPI Code Detail

MEDICARE: DR. TIMOTHY RAY VALEK M.D.

MEDICARE: DR. TIMOTHY RAY VALEK M.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
1207L00000XAnesthesiology PhysicianG5723TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2P01446784OTHERTXRR
38EH592OTHERTXBCBS

General Provider Information

NPI Number : 1245235480
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY RAY VALEK M.D.
Provider Business Mailing Address
First Line : PO BOX 840853
Second Line :
City : DALLAS
State : TX
Zip : 75284-0001
Country : US
Telephone Number : 972-233-1999
Fax Number : 972-233-3666
Provider Business Practice Location Address
First Line : 6606 LBJ FWY
Second Line : SUITE 200
City : DALLAS
State : TX
Zip : 75240-6533
Country : US
Telephone Number : 972-715-5000
Fax Number : 972-715-9976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 07/19/2021

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