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NPI Code Detail

MEDICARE: MISS ISABEL VALDEZ PA

MEDICARE: MISS ISABEL VALDEZ PA
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
1363A00000XPhysician Assistant363A00000XTX

General Provider Information

NPI Number : 1316123466
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ISABEL VALDEZ PA
Provider Business Mailing Address
First Line : 2911 S SHORE BLVD
Second Line : SUITE 190
City : LEAGUE CITY
State : TX
Zip : 77573-3922
Country : US
Telephone Number : 281-538-8188
Fax Number : 281-538-8189
Provider Business Practice Location Address
First Line : 2911 S SHORE BLVD
Second Line : SUITE 190
City : LEAGUE CITY
State : TX
Zip : 77573-3922
Country : US
Telephone Number : 281-538-8188
Fax Number : 281-538-8189
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2008
Last Update Date : 08/19/2021

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Directions to “ MISS ISABEL VALDEZ PA” Practice Location

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