Healthcare Provider Details

I. General information

NPI: 1891926614
Provider Name (Legal Business Name): ARLENE ELIZABETH VALDEZ P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2009
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 W OCEAN BLVD STE 104
LOS FRESNOS TX
78566-3668
US

IV. Provider business mailing address

324 W OCEAN BLVD STE 104
LOS FRESNOS TX
78566-3668
US

V. Phone/Fax

Practice location:
  • Phone: 956-233-2163
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA06325
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: