Provider Demographics
NPI:1154853570
Name:VALDES BRACAMONTES, JOSE LUIS (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:LUIS
Last Name:VALDES BRACAMONTES
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1614
Mailing Address - Country:US
Mailing Address - Phone:956-362-5433
Mailing Address - Fax:956-362-2420
Practice Address - Street 1:1100 E DOVE AVE STE 200
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4681
Practice Address - Country:US
Practice Address - Phone:956-362-5433
Practice Address - Fax:956-362-2420
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2023-10-19
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Provider Licenses
StateLicense IDTaxonomies
TXU4036207RN0300X, 204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology