ALICIA VALDIVIEZO (NPI# 1043662034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043662034 |
| Entity Type | Individual |
| Full Name | ALICIA VALDIVIEZO |
| Practice Address |
2046 Forest Ln Ste 130 Garland TX 75042 |
| Mailing Address |
2046 Forest Ln Ste 130 Garland TX 75042-7996 |
| Practice Telephone | 9754944494 |
| Practice Fax Number | 9724944450 |
| Mailing Telephone | 9754944494 |
| Mailing Fax Number | 9724944450 |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA11137 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1511 Bandera Rd, San Antonio, TX 782284006 | (210) 433-2334 | 2104339171 |
| Street Address |
2046 FOREST LN STE 130 |
| City | GARLAND |
| State | TX |
| Zip Code | 75042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538695283 | Anabel Gomez | Nurse Practitioner | 2046 Forest Ln Ste 130, Garland, TX 75042-7996 | 2017-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699259697 | Abiodun Gloria Irabor-musa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3106 Centennial Dr, Garland, TX 75042 | 2018-09-17 |
| 1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
| 1053711184 | Jamette Hickman | Physical Therapist | 705 Walter Reed Blvd Suite 100, Garland, TX 75042 | 2014-08-26 |
| 1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
| 1821424094 | Angel Care Team | Adult Companion | 1801 Evelyn Dr., Garland, TX 75042 | 2013-09-19 |
| 1427311042 | Baylor Family Medicine Clinic | Case Manager/Care Coordinator | 601 Clara Barton, 340, Garland, TX 75042 | 2012-06-19 |
| 1003176959 | Benedict Eric Homer | Dentist | 813 North Jupiter Rd., Garland, TX 75042 | 2012-05-25 |
| 1518254929 | Rama Sulochana Narla | Emergency Medicine | 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 | 2011-07-06 |
| 1093002917 | Mecca Group | Community/Behavioral Health | 1213 Patricia Ln, Garland, TX 75042 | 2011-06-29 |
| 1134410517 | Alexander Dela Cruz Lao | Physical Therapist | 705 Walter Reed Blvd., Suite 100, Garland, TX 75042 | 2011-04-20 |
| Find all providers in zip 75042 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194365148 | Francis Dang | Physician Assistant | 2909 Red Gum Rd, Garland, TX 75044-8005 | 2020-01-07 |
| 1750939732 | Katherine Marie Walter | Physician Assistant | 7217 Telecom Pkwy Ste 290, Garland, TX 75044-2203 | 2019-09-03 |
| 1346710282 | Margaret Hardman | Physician Assistant | 565 W Interstate 30, Garland, TX 75043-5702 | 2018-12-04 |
| 1073051207 | Garland Kids Clinic LLC | Physician Assistant | 323 N Shiloh Rd, Garland, TX 75042-6610 | 2017-02-08 |
| 1902174071 | Jillian M Boehm | Physician Assistant | 7217 Telecom Pkwy Ste 100a, Garland, TX 75044-2203 | 2011-12-05 |
| 1689826364 | Sampreethi Priscilla Henric | Physician Assistant | 1110 Woodway Dr, Garland, TX 75042-3962 | 2008-10-14 |
| 1699971507 | John Michael Hale | Physician Assistant | 3121 N President George Bush Hwy Ste B3, Garland, TX 75040-2752 | 2007-06-26 |
| 1962533497 | Beth Cowart | Physician Assistant | 700 Walter Reed Blvd Ste 306, Garland, TX 75042-3703 | 2007-03-08 |
| 1083644272 | Rhonda J Manessier | Physician Assistant | 7217 Telecom Pkwy Ste 100, Garland, TX 75044-2203 | 2006-07-03 |
| 1518967504 | Thao T. Quevedo | Physician Assistant | 5702 Lavon Dr, Garland, TX 75040-3126 | 2005-07-30 |
| Find all providers in GARLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.