Individual
ALICIA VALDES GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
29310 PRAIRIE ROSE CT, KATY, TX 77494-7384
(786) 556-8819
Mailing address
2301 HAYES RD APT 6914, HOUSTON, TX 77077-6943
(979) 330-8319
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17363
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17363
UNITED, AETNA, CIGNA, BLUE CROSS AND BLUE SHIELD
—
Enumeration date
11/16/2017
Last updated
06/16/2018
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