Provider Demographics
NPI:1629044193
Name:VALLS, FRANCISCO XAVIER (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:XAVIER
Last Name:VALLS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-594-4006
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:7547 MEDICAL DR
Practice Address - Street 2:SUITE 2200
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-4351
Practice Address - Country:US
Practice Address - Phone:804-693-2720
Practice Address - Fax:804-694-0597
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101245646207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1629044193Medicaid
VA1629044193Medicaid
I47619Medicare UPIN
VAP00766584Medicare PIN