Enrique De-Valdenebro, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G2680 Issued in TX

Practice address

31005 Sunfall Trail LN
Spring, TX 77386-7108

Phone

(713) 397-9008

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Texas Vaccine Institute Co.

  • Pharmacy
  • Katy, TX
  • NPI 1316182496
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1184662991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31005 SUNFALL TRAIL LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773867108",
            "telephone_number": "713-397-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31005 SUNFALL TRAIL LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773867108",
            "telephone_number": "713-397-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE-VALDENEBRO",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G2680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Astini Sanjoto De la Cruz, M.D
• Valeria Nicole De la Garza, PTA
• William A De Loache CH
• Silvia Vanessa De Luna
• Shannon De Vera, DDS
• Emily Nichol Dean
• Jacquel Dean, RN
• Dell S Deberardinis, LPC
• Kathy Debose, LMT
• Definitive Interventional Spine Center

• Surgery Physician in Spring, TX
• Providers in Spring, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.