Valencia, Jorge Ricardo

Valencia, Jorge Ricardo is an sole proprietor health care provider with primary practice located at 5420 Bellaire Blvd Ste A , Bellaire TX 77401-3957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Valencia, Jorge Ricardo can be contacted via phone (713) 663-6322.

Contact Information

Primary practice address
5420 Bellaire Blvd Ste A Bellaire TX 77401-3957
Fax: (713) 663-6944
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K8546 Texas

Profile Details

NPI number 1033104013
LBN Legal business name Valencia, Jorge Ricardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2005
Last updated Jun 19th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033104013 NPPES
Texas Other 0049HU BCBS OF TEX PROVIDER ID
Texas MEDICAID 110756702 BCBS OF TEX PROVIDER ID

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