Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | N7365 | TX |
NPI | 1194930453 |
---|---|
Provider Name | Dr. Mark Charlie Valente |
First Address | Plano, TX 75024-2619 |
Second Address | Plano, TX 75024-2619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 27/05/2021 |