Provider Demographics
NPI:1891384210
Name:VALDEZ, ADRIANNE RENEE (CPHT)
Entity Type:Individual
Prefix:MS
First Name:ADRIANNE
Middle Name:RENEE
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:MS
Other - First Name:ADRIANNE
Other - Middle Name:RENEE
Other - Last Name:VALDEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPHT
Mailing Address - Street 1:10203 BONAVANTURA
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-1616
Mailing Address - Country:US
Mailing Address - Phone:505-553-0174
Mailing Address - Fax:
Practice Address - Street 1:9900 WURZBACH RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2212
Practice Address - Country:US
Practice Address - Phone:210-696-1077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX149690183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician