Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | G5720 | TX |
NPI | 1013919356 |
---|---|
Provider Name | Cecilia T Valdes |
First Address | Houston, TX 77054-2900 |
Second Address | Houston, TX 77054-2900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 22/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
83063G | BLUE CROSS & BLUE SHIELD (01) | TX |
E45992 | (02) | TX |