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NPI Code Detail

MEDICARE: MR. LUIS ALBERTO VALDEZ RN, MSN, FNP-BC

MEDICARE: MR. LUIS ALBERTO VALDEZ RN, MSN, FNP-BC
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
1363L00000XNurse Practitioner607163TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1607163OTHERTXLICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962431353
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LUIS ALBERTO VALDEZ RN, MSN, FNP-BC
Provider Business Mailing Address
First Line : 1515 PAPPAS ST
Second Line : LAREDO TEXAS 78041
City : LAREDO
State : TX
Zip : 78041-1705
Country : US
Telephone Number : 956-795-8100
Fax Number : 956-718-6294
Provider Business Practice Location Address
First Line : 1515 PAPPAS ST
Second Line : LAREDO TEXAS 78041
City : LAREDO
State : TX
Zip : 78041-1705
Country : US
Telephone Number : 956-795-8100
Fax Number : 956-718-6294
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 12/03/2015

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