Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 1591 | TX |
Y | 213ES0103X | Foot & Ankle Surgery | 1591 | TX |
N | 213ES0131X | Foot Surgery | 1591 | TX |
NPI | 1144253022 |
---|---|
Provider Name | Dr. Celeste Borchers Valenzuela |
First Address | San Antonio, TX 78224-1361 |
Second Address | San Antonio, TX 78224 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 25/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U95301 | (02) | TX |