Provider Demographics
NPI:1518566173
Name:VALENTINE CARE PLLC
Entity Type:Organization
Organization Name:VALENTINE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:512-662-1333
Mailing Address - Street 1:PO BOX 43341
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-0046
Mailing Address - Country:US
Mailing Address - Phone:650-815-9120
Mailing Address - Fax:
Practice Address - Street 1:2911 MEDICAL ARTS ST STE 19B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3329
Practice Address - Country:US
Practice Address - Phone:650-815-9120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty