Provider Demographics
NPI:1194209817
Name:VALDEZ, LINDA I (FNP-C)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:I
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11340 TOP HAT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-4678
Mailing Address - Country:US
Mailing Address - Phone:325-212-6574
Mailing Address - Fax:
Practice Address - Street 1:300 EL RANCHO WAY
Practice Address - Street 2:
Practice Address - City:DILLEY
Practice Address - State:TX
Practice Address - Zip Code:78017-4200
Practice Address - Country:US
Practice Address - Phone:830-378-6679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF06182629363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily