Provider Demographics
NPI:1417016197
Name:ADOLFO ABD AIDA VALADEZ DBA CIRCLE OF FRIENDS
Entity Type:Organization
Organization Name:ADOLFO ABD AIDA VALADEZ DBA CIRCLE OF FRIENDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADOLFO
Authorized Official - Middle Name:
Authorized Official - Last Name:VALADEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-383-4991
Mailing Address - Street 1:RR 6 BOX 535B
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8907
Mailing Address - Country:US
Mailing Address - Phone:956-383-4991
Mailing Address - Fax:
Practice Address - Street 1:118 N. STEWART BLVD.
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:TX
Practice Address - Zip Code:78573
Practice Address - Country:US
Practice Address - Phone:956-519-2263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0034084261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care