Individual provider Active NPI

Victor Teodoro Valenzuela

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1538716360
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142769 Issued in TX
Practice address
9668 Bartlett Cir
Fort Worth, TX 76108-4467
Phone
(817) 900-8031
NPI assigned
Aug 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142769 TX Primary

Addresses

Primary practice location

9668 Bartlett Cir
Fort Worth, TX 76108-4467

Mailing address

1157 Browntop St
Crowley, TX 76036-4312
Phone (817) 727-5428

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191119001492 TX Practitioner - Nurse Practitioner 6204268915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Carenow Urgent Care, PLLCGroup PAC ID 2961742168, 24 clinicians

Practice addresses (Care Compare)

9100 Viscount Blvd
El Paso, TX 79925-6536
Phone (915) 594-4475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP142769TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Offices of Family Medicine PLLC CurrentSince Oct 1, 2019 Accepting new patients
El Paso Carenow Urgent Care, PLLC CurrentSince Dec 15, 2025 Accepting new patients

Locations

9100 Viscount Blvd
El Paso, TX 79925
Phone (915) 594-4475

9668 Bartlett Cir
Fort Worth, TX 76108
Phone (817) 900-8031

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1538716360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 BROWNTOP ST",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364312",
            "telephone_number": "817-727-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9668 BARTLETT CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084467",
            "telephone_number": "817-900-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "VICTOR",
        "middle_name": "TEODORO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.