Individual
ERIC VALLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
2812 GUADALUPE ST, SAN ANGELO, TX 76901-2933
(325) 212-6975
Mailing address
9527 COMSTOCK MEADOWS DR., HOUSTON, TX 77095
(325) 212-6975
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
168131
CO
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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