Individual
ALICIA VALDIVIEZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2046 FOREST LN STE 130, GARLAND, TX 75042
(975) 494-4494
(972) 494-4450
Mailing address
2046 FOREST LN STE 130, GARLAND, TX 75042-7996
(975) 494-4494
(972) 494-4450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11137
TX
Other
Enumeration date
07/01/2016
Last updated
07/21/2022
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