Organization
RAFAEL E. VALENZUELA, M.D.P.A.
Active
Parent organization
RAFAEL E. VALENZUELA, M.D.P.A.
Other names
EDWARD INDUSTRIAL MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAFAEL E. VALENZUELA, M.D.P.A.
Authorized official
DR. RAFAEL ERNESTO VALENZUELA F7938 (PRESIDENT)
(713) 691-0035
Entity
Organization
Contact information
Practice address
720 E TIDWELL RD, HOUSTON, TX 77022-1822
(713) 691-0035
(713) 691-2448
Mailing address
720 E TIDWELL RD, HOUSTON, TX 77022-1822
(713) 691-0035
(713) 691-2448
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
F7948
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091998701
—
TX
Enumeration date
11/10/2011
Last updated
12/02/2011
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