Provider Demographics
NPI:1982682225
Name:VALDEZ, VICTORIANO (MD)
Entity Type:Individual
Prefix:
First Name:VICTORIANO
Middle Name:
Last Name:VALDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7130
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78853-7130
Mailing Address - Country:US
Mailing Address - Phone:830-773-5000
Mailing Address - Fax:830-773-6262
Practice Address - Street 1:1951 N VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-4476
Practice Address - Country:US
Practice Address - Phone:830-773-5000
Practice Address - Fax:830-773-6262
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9582207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine