Healthcare Provider Details

I. General information

NPI: 1083407399
Provider Name (Legal Business Name): JANET MONIC VALENZUELA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 09/28/2025
Certification Date: 09/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7509 MARSHA SHARP FWY
LUBBOCK TX
79407-8202
US

IV. Provider business mailing address

2696 W APPLEBROOK LN APT 1-105
OAK CREEK WI
53154-8825
US

V. Phone/Fax

Practice location:
  • Phone: 806-725-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: