Basic Information
| Provider Information | |||||||||
| NPI: | 1700077658 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VALDEZ | ||||||||
| FirstName: | VALERIE | ||||||||
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| Credential: | P.T | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7430 REMCON CIR | ||||||||
| Address2: | STE B-110 | ||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799123514 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155442455 | ||||||||
| FaxNumber: | 9155443149 | ||||||||
| Practice Location | |||||||||
| Address1: | 9870 GATEWAY BLVD N | ||||||||
| Address2: | STE B-7 | ||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799244425 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9157515245 | ||||||||
| FaxNumber: | 9157515255 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/06/2007 | ||||||||
| LastUpdateDate: | 01/26/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1175251 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.