Provider Demographics
NPI:1528264272
Name:VALDEZ, JESUS JR (NP)
Entity type:Individual
Prefix:MR
First Name:JESUS
Middle Name:
Last Name:VALDEZ
Suffix:JR
Gender:M
Credentials:NP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4102 WOODLAWN AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1947
Mailing Address - Country:US
Mailing Address - Phone:713-475-5940
Mailing Address - Fax:713-477-6527
Practice Address - Street 1:4102 WOODLAWN AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1947
Practice Address - Country:US
Practice Address - Phone:713-475-5940
Practice Address - Fax:713-477-6527
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2024-09-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX675169363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner