Individual
DEBRA A VALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6316 PRECINCT LINE RD, HURST, TX 76054-2766
(817) 605-2500
(817) 605-2983
Mailing address
PO BOX 99406, FORT WORTH, TX 76199-0406
(817) 605-2833
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H2867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050NC
BCBSTX GRP PIN
TX
05
—
080626701
—
TX
01
—
10028901
AMERIGROUP PIN
TX
01
—
101503
SUPERIOR PIN
TX
01
—
125966102
FIRSTCARE PIN
TX
05
—
137544611
—
TX
05
—
137544612
—
TX
05
—
137544613
—
TX
05
—
163314101
—
TX
05
—
170994101
—
TX
01
—
1912978891
GRP NPI NUMBER
—
01
—
4140263
AETN APIN
TX
01
—
54148
FIRSTHEALTH PIN
TX
01
—
8B7944
BCBSTX IND PIN
TX
01
—
8V0286
BCBS
TX
Enumeration date
10/11/2006
Last updated
04/01/2009
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