Active NPI
Jorge R Valencia M.D.
- Family Medicine Physician
- Wichita Falls, TX
National Provider Identifier
1447390729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K8546
- Legal business name
- JORGE R VALENCIA M.D.
- Practice address
- 5 Eureka Cir
Suite C
Wichita Falls, TX 76308-2900 - Phone
- (940) 322-1313
- Fax
- (940) 322-1341
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jorge Ricardo Valencia, M.D
- Title
- Medical Doctor
- Phone
- (940) 322-1313
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K8546 | TX | Primary |
Addresses
Primary practice location
5 Eureka Cir
Suite C
Wichita Falls, TX 76308-2900
Mailing address
1505 Tanglewood Dr
Wichita Falls, TX 76309-1438
Phone (940) 692-6817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049HU | Other | TX | BCBS OF TEX PROVIDER ID |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Bellaire, TX
- NPI 1033104013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1447390729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 TANGLEWOOD DR",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763091438",
"telephone_number": "940-692-6817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 EUREKA CIR",
"address_2": "SUITE C",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763082900",
"telephone_number": "940-322-1313",
"fax_number": "940-322-1341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JORGE R VALENCIA M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VALENCIA",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "RICARDO",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "940-322-1313",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "K8546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEX PROVIDER ID",
"identifier": "0049HU",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.