Provider Demographics
NPI:1912141284
Name:G A VALDEZ & ASSOCIATES INC
Entity Type:Organization
Organization Name:G A VALDEZ & ASSOCIATES INC
Other - Org Name:FAMILY HEALTH PRO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:VALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-255-2001
Mailing Address - Street 1:888 GRAHAM DR
Mailing Address - Street 2:STE 100
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3322
Mailing Address - Country:US
Mailing Address - Phone:281-255-2001
Mailing Address - Fax:832-698-2781
Practice Address - Street 1:888 GRAHAM DR
Practice Address - Street 2:STE 100
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3322
Practice Address - Country:US
Practice Address - Phone:281-255-2001
Practice Address - Fax:832-698-2781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2017-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5160207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX204198001Medicaid
TXDP2297OtherRAIL ROAD MEDICARE
TXDP2297OtherRAIL ROAD MEDICARE
I 10256Medicare UPIN