RAFAEL E. VALENZUELA M.D.P.A. NPI 1407133036

NPI Information

RAFAEL E. VALENZUELA, M.D.P.A. is a point of service in Houston, TX. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. RAFAEL E. VALENZUELA, M.D.P.A. NPI is 1407133036. The provider is registered as an organization entity type.
The provider Is Doing Business As Edward Industrial Medical Clinic.

The provider's business location address is:

720 E TIDWELL RD
HOUSTON, TX
ZIP 77022-822
Phone: (713) 691-0035
Fax: (713) 691-2448

The provider's authorized official is Rafael Ernesto Valenzuela .
The authorized official title is President and has the following contact phone number (713) 691-0035.

The CLIA number assigned to this NPI record is 45D0951986 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2011 and was last updated on 12/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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