Provider Demographics
NPI:1467828251
Name:VALDEZ, LAURA HICELA
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:HICELA
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALL THINGS
Other - Middle Name:
Other - Last Name:ARE POSSIBLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DBA
Mailing Address - Street 1:8729 GARRETT ST
Mailing Address - Street 2:
Mailing Address - City:NEEDVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77461-1721
Mailing Address - Country:US
Mailing Address - Phone:281-330-3345
Mailing Address - Fax:
Practice Address - Street 1:8729 GARRETT ST
Practice Address - Street 2:
Practice Address - City:NEEDVILLE
Practice Address - State:TX
Practice Address - Zip Code:77461-1721
Practice Address - Country:US
Practice Address - Phone:281-330-3345
Practice Address - Fax:979-652-4186
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-14
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health