Provider Demographics
NPI:1811731565
Name:ALBA VALDES, ANALIS TERESA (DMD)
Entity type:Individual
Prefix:
First Name:ANALIS
Middle Name:TERESA
Last Name:ALBA VALDES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29462 WESTHOPE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4547
Mailing Address - Country:US
Mailing Address - Phone:346-309-1222
Mailing Address - Fax:
Practice Address - Street 1:21693 FM 1314 RD STE 700
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-7478
Practice Address - Country:US
Practice Address - Phone:281-519-7200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX405691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice