MEDICARE: MR. CHRISTIAN ARMANDO VALDEZ SR.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	3747P1801X	Personal Care Attendant
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1588412985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTIAN ARMANDO VALDEZ SR.

Provider Business Mailing Address
First Line	:	6900 ANDERSON BLVD STE 108
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76120-3030
Country	:	US
Telephone Number	:	817-771-3840
Fax Number	:	888-507-5006

Provider Business Practice Location Address
First Line	:	6900 ANDERSON BLVD STE 108
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76120-3030
Country	:	US
Telephone Number	:	817-771-3840
Fax Number	:

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

Provider Enumeration Date	:	05/09/2024
Last Update Date	:	12/11/2024

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