MEDICARE: MELISSA BELLE VALDEZ PA-C

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	363A00000X	Physician Assistant	PA09720	TX

General Provider Information

NPI Number	:	1184015034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA BELLE VALDEZ PA-C

Provider Business Mailing Address
First Line	:	6510 HILLCROFT ST
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77081-4770
Country	:	US
Telephone Number	:	713-988-6677
Fax Number	:	713-988-0123

Provider Business Practice Location Address
First Line	:	6510 HILLCROFT ST
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77081-4770
Country	:	US
Telephone Number	:	713-988-6677
Fax Number	:	713-988-0123

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2015
Last Update Date	:	03/22/2015

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