Organization Active NPI

Jorge R Valencia M.D.

  • Family Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1447390729
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K8546 Issued in TX
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jorge Ricardo Valencia, M.DNPI 1033104013
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0049HUOtherTXBCBS OF TEX PROVIDER ID

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.