Individual
RANDOLPH VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5505 S EXPRESSWAY 77 STE 203, HARLINGEN, TX 78550-3222
(956) 444-2800
Mailing address
3401 SOUTHERN BREEZE AVE, EDINBURG, TX 78541-4456
(956) 897-3934
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1128035
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1128035
TX
Other
Enumeration date
07/10/2023
Last updated
11/16/2023
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