NPI 1043662034
Alicia Valdiviezo
Practice location
- Address
- 2046 Forest Ln STE 130, Garland, TX 75042
- Phone
- (975) 494-4494
- Fax
- (972) 494-4450
- Mailing address
- 2046 Forest Ln STE 130, Garland, TX 75042-7996
Registered specialties
Physician Assistant
Primary
Registry record
- NPI
- 1043662034
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Jul 2016
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.