Provider Demographics
NPI:1609161975
Name:VALDEZ, LYNDA LOGAN (RNC, MSN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:LYNDA
Middle Name:LOGAN
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:RNC, MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 W I-20
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-1670
Mailing Address - Country:US
Mailing Address - Phone:817-465-9797
Mailing Address - Fax:
Practice Address - Street 1:2400 W I-20
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-1670
Practice Address - Country:US
Practice Address - Phone:817-465-9797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX450988163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice