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Alicia Valdiviezo

Physician Assistant in Garland, TX. Individual provider (NPI-1).

NPI number1043662034
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1043662034
Entity type
Individual (NPI-1)
Name
Alicia Valdiviezo
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 1, 2016
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA11137TXYes

Practice location

2046 Forest Ln Ste 130
Garland, TX 75042

Phone 975-494-4494 · Fax 972-494-4450

Mailing address

2046 Forest Ln Ste 130
Garland, TX 75042-7996

Phone 975-494-4494 · Fax 972-494-4450

Other practice locations

1511 Bandera Rd
San Antonio, TX 78228-4006

Phone 210-433-2334 · Fax 210-433-9171

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