Organization Active NPI

Bianelly Valdez

  • Durable Medical Equipment & Medical Supplies
  • Manchaca, TX
National Provider Identifier
1275859092
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BIANELLY VALDEZ
Practice address
12209 Twin Creek Rd Ste H
Manchaca, TX 78652-3784
Phone
(512) 458-1414
Fax
(512) 458-5550
NPI assigned
Apr 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Ms. Bianelly Valdez
Title
Owner
Phone
(512) 458-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

12209 Twin Creek Rd Ste H
Manchaca, TX 78652-3784

Mailing address

12209 Twin Creek Rd Ste H
Manchaca, TX 78652-3784
Phone (512) 458-1414

Other identifiers 1

IdentifierTypeStateIssuer
208482404MedicaidTX

Other names 1

  • Express Care, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

937 Reinli St
Ste 9
Austin, TX 78751
Phone (512) 458-1414

12209 Twin Creek Rd
Ste H
Manchaca, TX 78652
Phone (512) 458-1414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1275859092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12209 TWIN CREEK RD STE H",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786523784",
            "telephone_number": "512-458-1414",
            "fax_number": "512-458-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12209 TWIN CREEK RD STE H",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786523784",
            "telephone_number": "512-458-1414",
            "fax_number": "512-458-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIANELLY VALDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "BIANELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-458-1414",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208482404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Care, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchaca, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.