Provider Demographics
NPI:1174798797
Name:VALDEZ, RAFAEL NUNEZ (MD)
Entity type:Individual
Prefix:
First Name:RAFAEL
Middle Name:NUNEZ
Last Name:VALDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5809 AIRLINE DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-4942
Mailing Address - Country:US
Mailing Address - Phone:713-742-8485
Mailing Address - Fax:713-255-5053
Practice Address - Street 1:5809 AIRLINE DR
Practice Address - Street 2:SUITE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-4942
Practice Address - Country:US
Practice Address - Phone:713-742-8485
Practice Address - Fax:713-255-5053
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2022-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM9713207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM9713OtherLICENSE NUMBER