Healthcare Provider Details

I. General information

NPI: 1396670758
Provider Name (Legal Business Name): ALDUENDA HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 RESEARCH FOREST DR STE 650
SPRING TX
77381-7800
US

IV. Provider business mailing address

PO BOX 4965
SAN LUIS AZ
85349-4965
US

V. Phone/Fax

Practice location:
  • Phone: 928-509-1279
  • Fax: 928-361-2599
Mailing address:
  • Phone: 928-509-1279
  • Fax: 928-361-2599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: PAUL ALDUENDA NAFARRATE
Title or Position: DIRECTOR
Credential:
Phone: 928-509-1279