Provider Demographics
NPI:1821713017
Name:FALCON VALDES, MANUEL LAZARO (APRN-CNP)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:LAZARO
Last Name:FALCON VALDES
Suffix:
Gender:M
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4418 RUSHING RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-1032
Mailing Address - Country:US
Mailing Address - Phone:786-523-2727
Mailing Address - Fax:
Practice Address - Street 1:9919 NORTH FWY STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77037-1272
Practice Address - Country:US
Practice Address - Phone:346-409-2270
Practice Address - Fax:281-506-7492
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1096380363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty