RAFAEL E. VALENZUELA, M.D.P.A. (NPI# 1407133036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407133036 |
| Entity Type | Organization |
| Organization Name | RAFAEL E. VALENZUELA, M.D.P.A. |
| Other Organization Name | EDWARD INDUSTRIAL MEDICAL CLINIC |
| Practice Address |
720 E Tidwell Rd Houston TX 77022-1822 |
| Practice Telephone | 7136910035 |
| Practice Fax Number | 7136912448 |
| Mailing Telephone | 7136910035 |
| Mailing Fax Number | 7136912448 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-12-02 |
| Authorized Official Name | DR. RAFAEL ERNESTO VALENZUELA (PRESIDENT) |
| Authorized Official Telephone | 7136910035 |
| Authorized Official Credential | F7938 |
| Is Organization Subpart | Y |
| Parent Organization Name | RAFAEL E. VALENZUELA, M.D.P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | F7948 | TX | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 091998701 | 05 |
| Other Name | Type Code |
|---|---|
| EDWARD INDUSTRIAL MEDICAL CLINIC | Doing Business As Name - Organization |
| Street Address |
720 E TIDWELL RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77022-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063420396 | Rafael Ernesto Valenzuela | Family Medicine | 720 E Tidwell Rd, Houston, TX 77022-1822 | 2006-08-03 |
| 1831561158 | Katrina Singh Chea | Nurse Practitioner | 720 E Tidwell Rd, Houston, TX 77022-1822 | 2015-10-26 |
| 1114362985 | Sandra Milena Amado | Family Medicine | 720 E Tidwell Rd, Houston, TX 77022-1822 | 2013-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418373 | Magnolia 1 House | Nursing Care | 505 E 38th St, Houston, TX 77022 | 2020-02-11 |
| 1720569429 | Loving Care Assisted Living Home | Assisted Living Facility | 8209 N Main St, Houston, TX 77022 | 2018-08-22 |
| 1235687674 | Elizabeth Brooke Avant | Physical Therapist | 5206 Airline Drive, Houston, TX 77022 | 2016-09-14 |
| 1225407109 | Elsa Murillo | Pharmacy Technician | 4712 Airline Drive, Suite F, Houston, TX 77022 | 2015-09-21 |
| 1215210125 | Tidwell Rx LLC | Pharmacy | 712 E Tidwell Rd, Suite C, Houston, TX 77022 | 2011-09-27 |
| 1184904195 | Victoria Ann Ramirez | Dentist | 4400 North Fwy Spc D500, Houston, TX 77022 | 2011-08-22 |
| 1902116726 | Serrot Inc. | Optometrist | 4412 North Freeway, Houston, TX 77022 | 2010-10-14 |
| 1972811586 | Wal-mart Stores Texas LLC | Technician/Technologist | 4412 N Fwy, Houston, TX 77022 | 2010-09-16 |
| 1922329671 | Hamid S Sohrabian | Chiropractor | 4615 North Frwy . 208, Houston, TX 77022 | 2010-06-17 |
| 1861636896 | Johnnetta Matrice Nichols | Assisted Living Facility | 8209 N. Main St., Houston, TX 77022 | 2009-04-21 |
| Find all providers in zip 77022 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639634512 | Agape Love International Foundation | Point of Service | 11614 Welshpool Glen Dr, Houston, TX 77066-4621 | 2019-02-05 |
| 1871077446 | Novacure Group, LLC | Point of Service | 5161 San Felipe St Ste 320-18, Houston, TX 77056-3633 | 2018-09-19 |
| 1790220481 | Premier Diagnostic Center | Point of Service | 10311 Homestead Road, Houston, TX 77016 | 2017-01-04 |
| 1134673072 | Peace of Mind Adult Day Care Center | Point of Service | 3355 Fm 1960 Rd W, Houston, TX 77068-3605 | 2016-08-09 |
| 1902257843 | My Focus On Life Inc | Point of Service | 8323 Southwest Fwy Ste 425, Houston, TX 77074-1618 | 2016-06-22 |
| 1740641687 | Dl Medical Billing Professional/ Professionals LLC | Point of Service | 5302 Ingomar Way, Houston, TX 77053-2112 | 2016-03-18 |
| 1730557711 | Destiny Consulting | Point of Service | 15006 Welcome Ln, Houston, TX 77014-1408 | 2015-09-09 |
| 1225405806 | Healing Hands & Health Therapities | Point of Service | 4711 W Alabama St, Apt B, Houston, TX 77027-4731 | 2015-08-30 |
| 1962879528 | Fresh-n-clean | Point of Service | 12219 Ghita Ln, Houston, TX 77044-1580 | 2015-08-29 |
| 1164821369 | Lawil Group Inc | Point of Service | 6862 Crosswell St, Houston, TX 77087-6811 | 2014-08-14 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on RAFAEL E. VALENZUELA, M.D.P.A..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.