Individual
MARIA VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5145 OLD ESCOBARES HIGHWAY 83, ROMA, TX 78584-5824
(956) 298-0043
(956) 849-5676
Mailing address
5145 OLD ESCOBARES HIGHWAY 83, ROMA, TX 78584-5824
(956) 847-1077
(956) 847-1078
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
147543
TX
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106828
DAHS VENDOR ID
TX
05
—
812515238
—
TX
Enumeration date
06/20/2016
Last updated
06/13/2024
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