Individual
TARAN BROOKS VALDIVIA CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-5271
Mailing address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0102207067
VA
2085R0202X
Diagnostic Radiology Physician
2025-03182
NC
Other
Enumeration date
03/16/2020
Last updated
09/23/2025
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