Provider Demographics
NPI:1679828354
Name:VALDEZ, RAFAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:
Last Name:VALDEZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 PRESTON OAKS RD APT 2089
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-8712
Mailing Address - Country:US
Mailing Address - Phone:940-594-5950
Mailing Address - Fax:
Practice Address - Street 1:6060 DILBECK LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-5351
Practice Address - Country:US
Practice Address - Phone:972-385-3643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12102111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor