Provider Demographics
NPI:1396419966
Name:VALDEZ, DANIELLE (DC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8209 PROSPER DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119-7204
Mailing Address - Country:US
Mailing Address - Phone:623-262-1184
Mailing Address - Fax:
Practice Address - Street 1:2306 7TH AVE
Practice Address - Street 2:
Practice Address - City:CANYON
Practice Address - State:TX
Practice Address - Zip Code:79015-4742
Practice Address - Country:US
Practice Address - Phone:806-655-2373
Practice Address - Fax:806-655-5611
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDC2251111N00000X
TX15284111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor