Provider Demographics
NPI:1912043241
Name:FERNANDO VALDEZ, M.D.P.A.
Entity Type:Organization
Organization Name:FERNANDO VALDEZ, M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SELF PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-585-6622
Mailing Address - Street 1:210 S BRYAN RD STE 2
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-6208
Mailing Address - Country:US
Mailing Address - Phone:956-585-6622
Mailing Address - Fax:956-585-2551
Practice Address - Street 1:210 S BRYAN RD STE 2
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6208
Practice Address - Country:US
Practice Address - Phone:956-585-6622
Practice Address - Fax:956-585-2551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty