Healthcare Provider Details

I. General information

NPI: 1871421883
Provider Name (Legal Business Name): VALERIA SIMONE LEVIN MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VALERIA SIMONE DIAZ-PACHECO MS

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S COULTER ST
AMARILLO TX
79106-1786
US

IV. Provider business mailing address

1400 S COULTER ST
AMARILLO TX
79106-1786
US

V. Phone/Fax

Practice location:
  • Phone: 806-414-9608
  • Fax:
Mailing address:
  • Phone: 806-414-9608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: