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Organization
JORGE R VALENCIA M.D.
Active
Organization
JORGE R VALENCIA M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE RICARDO VALENCIA M.D (MEDICAL DOCTOR)
(940) 322-1313
Entity
Organization
Contact information
Practice address
5 EUREKA CIR, SUITE C, WICHITA FALLS, TX 76308-2900
(940) 322-1313
(940) 322-1341
Mailing address
1505 TANGLEWOOD DR, WICHITA FALLS, TX 76309-1438
(940) 692-6817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K8546
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049HU
BCBS OF TEX PROVIDER ID
TX
Enumeration date
02/07/2007
Last updated
08/22/2020
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