Healthcare Provider Details

I. General information

NPI: 1215814413
Provider Name (Legal Business Name): GIOVANNI VENTURA VALDEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8503 NW MILITARY HWY
SAN ANTONIO TX
78231-1841
US

IV. Provider business mailing address

8503 NW MILITARY HWY
SAN ANTONIO TX
78231-1841
US

V. Phone/Fax

Practice location:
  • Phone: 210-479-4350
  • Fax:
Mailing address:
  • Phone: 210-479-4350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number370622
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: