Provider Demographics
NPI:1194151266
Name:LOURDES VALDES, PH.D., PLLC
Entity type:Organization
Organization Name:LOURDES VALDES, PH.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:281-395-2575
Mailing Address - Street 1:26515 SANDY ARBOR LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2372
Mailing Address - Country:US
Mailing Address - Phone:281-395-2575
Mailing Address - Fax:
Practice Address - Street 1:26515 SANDY ARBOR LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2372
Practice Address - Country:US
Practice Address - Phone:281-395-2575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31568261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)