Individual
JOSE ERNESTO LOPEZ VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(823) 355-2666
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-3030
(617) 726-3030
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1013986
MA
207L00000X
Anesthesiology Physician
V3370
TX
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
V3370
TX
Other
Enumeration date
06/12/2019
Last updated
10/08/2024
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