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NPI Code Detail

MEDICARE: MS. ELISA VALDES

MEDICARE: MS. ELISA VALDES
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
1235Z00000XSpeech-Language Pathologist103469TX

General Provider Information

NPI Number : 1386834612
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELISA VALDES
Provider Business Mailing Address
First Line : 8502 EDGEMERE RD
Second Line :
City : DALLAS
State : TX
Zip : 75225-3523
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8502 EDGEMERE RD
Second Line :
City : DALLAS
State : TX
Zip : 75225-3523
Country : US
Telephone Number : 214-369-7995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2007
Last Update Date : 08/01/2007

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Directions to “ MS. ELISA VALDES ” Practice Location

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