| Valdez Family Clinic, P.a. | |
|
98 Briggs St Suite 800 San Antonio TX 78224-1286 | |
| (210) 927-9500 | |
| (210) 927-9200 |
| Full Name | Valdez Family Clinic, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 98 Briggs St, San Antonio, Texas |
| Authorized Official Name and Position | Alicia V Valdez (PRESIDENT) |
| Authorized Official Contact | 2109279500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valdez Family Clinic, P.a. 98 Briggs St Suite 800 San Antonio TX 78224-1286 Ph: (210) 927-9500 | Valdez Family Clinic, P.a. 98 Briggs St Suite 800 San Antonio TX 78224-1286 Ph: (210) 927-9500 |
| NPI Number | 1932154929 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 02/15/2008 |
| Medicare PECOS PAC ID | 7315942380 |
|---|---|
| Medicare Enrollment ID | O20060926000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932154929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alicia V Valdez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184689903 PECOS PAC ID: 2860452976 Enrollment ID: I20041013000898 |
| Provider Name | Ashlie Braswell Dumas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821547050 PECOS PAC ID: 1759669823 Enrollment ID: I20170727001145 |
| Provider Name | Timothy David Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093377319 PECOS PAC ID: 6204164189 Enrollment ID: I20190830000967 |
| Provider Name | Rodolfo Fuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013590504 PECOS PAC ID: 0941691810 Enrollment ID: I20220104000082 |
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