Doctor Name: | MR. MICHAEL R VALDEZ |
NPI Number: | 1083858096 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 86-353 |
Business Practice Address: | 3811 Commons Ave Ne Albuquerque, NM - 871095832 |
Business Phone Number: | 5053459599 |
Business Fax Number: | 5059984207 |
Mailing Address: | 5080 Spectrum Dr, Suite 1200 West ADDISON |
State: | TX |
Postal Code: | 750014648 |
Phone Number: | 9723648000 |
Fax Number: | 2147754502 |
NPI Enumeration Date: | 04/22/2009 |
NPI Last Update Date: | 04/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 86-353 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |