Edward Industrial Medical Clinic

LBN: Rafael E. Valenzuela, M.D.P.A.
Edward Industrial Medical Clinic is an health care organization with primary practice located at 720 E Tidwell Rd , Houston TX 77022-1822. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Rafael E. Valenzuela, M.D.P.A. can be contacted via phone (713) 691-0035, or through Valenzuela, Rafael Ernesto via phone (713) 691-0035.

Contact Information

Primary practice address
720 E Tidwell Rd Houston TX 77022-1822
Phone: (713) 691-0035
Fax: (713) 691-2448
Website:
Map and Directions
Authorized official contact:
Name: Valenzuela, Rafael Ernesto F7938
Phone: (713) 691-0035

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X F7948 Texas

Profile Details

NPI number 1407133036
LBN Legal business name Rafael E. Valenzuela, M.D.P.A.
DBA Doing business as Edward Industrial Medical Clinic
Authorized official Valenzuela, Rafael Ernesto F7938
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 10th, 2011
Last updated Dec 2nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407133036 NPPES
Texas MEDICAID 091998701

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