Provider Demographics
NPI:1144722844
Name:VALDEZ, JOSE RAFAEL (FNP-C, ENP, MSN)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:RAFAEL
Last Name:VALDEZ
Suffix:
Gender:M
Credentials:FNP-C, ENP, MSN
Other - Prefix:
Other - First Name:JOSE
Other - Middle Name:
Other - Last Name:CEPIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2028 WIRT RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-1602
Mailing Address - Country:US
Mailing Address - Phone:713-682-7066
Mailing Address - Fax:832-916-2813
Practice Address - Street 1:2028 WIRT RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-1602
Practice Address - Country:US
Practice Address - Phone:713-682-7066
Practice Address - Fax:832-916-2813
Is Sole Proprietor?:No
Enumeration Date:2018-03-08
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136427363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily