Individual
NANCY VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
307 54TH ST, LUBBOCK, TX 79404
(806) 438-8005
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 269-0674
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C164884
CA
208000000X
Pediatrics Physician
L5161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100146850A
—
OK
01
—
10125740
DPS
TX
05
—
131327100
—
TX
01
—
131327101
FIRSTCARE COMMERCIAL
TX
05
—
152992701
—
TX
05
—
152992702
—
TX
05
—
48286541
—
NM
01
—
86911Z
HMO BLUE
TX
01
—
8G6050
BC/BS
TX
01
—
A542
TRIWEST
NM
Enumeration date
11/16/2005
Last updated
03/07/2023
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