Provider Demographics
NPI:1942954474
Name:DEPALMA, VALENTINO
Entity type:Individual
Prefix:
First Name:VALENTINO
Middle Name:
Last Name:DEPALMA
Suffix:
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 1:2900 REDFIELD DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-2343
Mailing Address - Country:US
Mailing Address - Phone:516-236-1621
Mailing Address - Fax:
Practice Address - Street 1:1105 CENTRAL EXPY N STE 2120
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6117
Practice Address - Country:US
Practice Address - Phone:972-727-9877
Practice Address - Fax:972-747-5105
Is Sole Proprietor?:No
Enumeration Date:2022-02-03
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028002-01363A00000X
TXPA19323363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant