MEDICARE: DR. MANUEL LAZARO FALCON VALDES APRN-CNP

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	363LF0000X	Family Nurse Practitioner	1096380	TX

General Provider Information

NPI Number	:	1821713017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANUEL LAZARO FALCON VALDES APRN-CNP

Provider Business Mailing Address
First Line	:	4418 RUSHING RIDGE CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-1032
Country	:	US
Telephone Number	:	786-523-2727
Fax Number	:

Provider Business Practice Location Address
First Line	:	9919 NORTH FWY STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77037-1272
Country	:	US
Telephone Number	:	346-409-2270
Fax Number	:	281-506-7492

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

Provider Enumeration Date	:	10/10/2022
Last Update Date	:	03/30/2026

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