Provider Demographics
NPI:1154165181
Name:VALBALL MEDICAL MANAGEMENT
Entity type:Organization
Organization Name:VALBALL MEDICAL MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:CESAR
Authorized Official - Last Name:VALCARCEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-323-4773
Mailing Address - Street 1:25602 INTERSTATE 45 N STE 112B
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1350
Mailing Address - Country:US
Mailing Address - Phone:281-323-4773
Mailing Address - Fax:281-323-4781
Practice Address - Street 1:25602 INTERSTATE 45 N STE 112B
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-1350
Practice Address - Country:US
Practice Address - Phone:281-323-4773
Practice Address - Fax:281-323-4781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care