Basic Information
| Provider Information | |||||||||
| NPI: | 1669463725 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VALENTIN | ||||||||
| FirstName: | FRANK | ||||||||
| MiddleName: | EDGAR | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | BROOKE ARMY MEDICAL CENTER | ||||||||
| Address2: | 3551 ROGER BROOKE DRIVE | ||||||||
| City: | FT SAM HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78234 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2109161245 | ||||||||
| FaxNumber: | 2109162946 | ||||||||
| Practice Location | |||||||||
| Address1: | SAN ANTONIO MILITARY MEDICAL CENTER | ||||||||
| Address2: | 3851 ROGER BROOKE DR. | ||||||||
| City: | SA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78234 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2109161245 | ||||||||
| FaxNumber: | 2109162946 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/28/2005 | ||||||||
| LastUpdateDate: | 05/08/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 0101102670 | VA | N | Allopathic & Osteopathic Physicians | Ophthalmology | 207WX0110X | M5556 | TX | Y |
No ID Information.