Organization Active NPI

Cristina V. Valdez, MD PA

  • Clinic/Center
  • Irving, TX
National Provider Identifier
1578659785
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CRISTINA V. VALDEZ, MD PA
Practice address
3501 N Macarthur Blvd
Suite 400
Irving, TX 75062-3636
Phone
(972) 594-0100
Fax
(972) 594-1979
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Ms. Antie Sharie Mayfield
Title
Office Manager
Phone
(972) 594-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3501 N Macarthur Blvd
Suite 400
Irving, TX 75062-3636

Mailing address

3501 N Macarthur Blvd
Suite 400
Irving, TX 75062-3636
Phone (972) 594-0100

Other identifiers 2

IdentifierTypeStateIssuer
0077KZOtherTXBCBS OF TX
1668337 01MedicaidTX

National Provider Directory

National Provider Directory

Locations

3501 N MacArthur Blvd
Ste 101
Irving, TX 75062
Phone (972) 594-0100

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1578659785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD",
            "address_2": "SUITE 400",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623636",
            "telephone_number": "972-594-0100",
            "fax_number": "972-594-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD",
            "address_2": "SUITE 400",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623636",
            "telephone_number": "972-594-0100",
            "fax_number": "972-594-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTINA V. VALDEZ, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "ANTIE",
        "authorized_official_middle_name": "SHARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-594-0100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "0077KZ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1668337 01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.