MEDICARE: VALBALL MEDICAL MANAGEMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1154165181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALBALL MEDICAL MANAGEMENT

Provider Business Mailing Address
First Line	:	25602 INTERSTATE 45 N STE 112B
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1350
Country	:	US
Telephone Number	:	281-323-4773
Fax Number	:	281-323-4781

Provider Business Practice Location Address
First Line	:	25602 INTERSTATE 45 N STE 112B
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1350
Country	:	US
Telephone Number	:	281-323-4773
Fax Number	:	281-323-4781

Authorized Official
Title or Position	:	MANAGER/OWNER
Name	:	JULIO CESAR VALCARCEL
Credential	:
Telephone Number	:	281-323-4773

Provider Enumeration Date	:	06/24/2024
Last Update Date	:	03/25/2026

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