Provider Demographics
NPI:1891354379
Name:VALDERA, FRANKLIN ANTONIO JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:ANTONIO
Last Name:VALDERA
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:MCHE-ZSS-G
Mailing Address - Street 2:3551 ROGER BROOKE DRIVE
Mailing Address - City:JBSA FSH
Mailing Address - State:TX
Mailing Address - Zip Code:78234
Mailing Address - Country:US
Mailing Address - Phone:210-916-0439
Mailing Address - Fax:210-916-6658
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-916-3910
Practice Address - Fax:210-916-2077
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2021-08-10
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Provider Licenses
StateLicense IDTaxonomies
VA0101271431208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice