Provider Demographics
NPI:1588412985
Name:VALDEZ, CHRISTIAN ARMANDO SR
Entity type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:ARMANDO
Last Name:VALDEZ
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 ANDERSON BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76120-3030
Mailing Address - Country:US
Mailing Address - Phone:817-771-3840
Mailing Address - Fax:888-507-5006
Practice Address - Street 1:6900 ANDERSON BLVD STE 108
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76120-3030
Practice Address - Country:US
Practice Address - Phone:817-771-3840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty