Individual
ANA I VALDES ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2213 MARTIN DRIVE, BEDFORD, TX 76021
(817) 876-6113
Mailing address
2825 N STATE HIGHWAY 360 APT 535, GRAND PRAIRIE, TX 75050-7849
(817) 471-2171
(817) 471-2171
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N4176
TX
Other
Enumeration date
08/25/2009
Last updated
01/22/2013
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