Rafael E. Valenzuela, M.D.P.a.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

F7948 Issued in TX

Legal business name

RAFAEL E. VALENZUELA, M.D.P.A.

Doing business as

Edward Industrial Medical Clinic

Practice address

720 E Tidwell Rd
Houston, TX 77022-1822

Phone

(713) 691-0035

Fax

(713) 691-2448

NPI assigned

Nov 10, 2011

Last updated

Dec 2, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

RAFAEL E. VALENZUELA, M.D.P.A.As reported in NPPES

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

Authorized official

Name

Dr. Rafael Ernesto Valenzuela, F7938NPI 1063420396

Title

President

Phone

(713) 691-0035

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EDWARD INDUSTRIAL MEDICAL CLINIC Doing business as

Part of

Edward Indust Medical C

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rafael Ernesto Valenzuela, MEDICAL DOCTOR

  • Family Medicine Physician
  • Houston, TX
  • NPI 1063420396
  Authorized official Same address or phone

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1407133036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E TIDWELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770221822",
            "telephone_number": "713-691-0035",
            "fax_number": "713-691-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E TIDWELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770221822",
            "telephone_number": "713-691-0035",
            "fax_number": "713-691-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL E. VALENZUELA, M.D.P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAFAEL E. VALENZUELA, M.D.P.A.",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-691-0035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "F7938"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "F7948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091998701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDWARD INDUSTRIAL MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meredith Rae, MD
• Sharon Rae, M.D.
• Veronica Megan Raedy
• Taylor Ryan Raetz, PT
• Rafael C Esquenazi MD PA
• Rafael Espada MD PA
• Rafael G Borges, M.D. (Family Medicine Clinic)
• Natalie Rafaeli, M.D.
• Leslie Faye Rafanan, D.O.
• Marilyn Abejero Rafanan, MD

• Point of Service in Houston, TX
• Providers in Houston, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.