Provider Demographics
NPI:1649438466
Name:VALDEZ, RENE JR (DC)
Entity type:Individual
Prefix:DR
First Name:RENE
Middle Name:
Last Name:VALDEZ
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7203 J CARPENTER FRWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3721 N HALL ST
Practice Address - Street 2:APT 203
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-6402
Practice Address - Country:US
Practice Address - Phone:972-281-9592
Practice Address - Fax:214-599-0599
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor