Provider Demographics
NPI:1679378483
Name:PAGITT, VALARIE
Entity type:Individual
Prefix:
First Name:VALARIE
Middle Name:
Last Name:PAGITT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-5144
Mailing Address - Country:US
Mailing Address - Phone:830-262-2962
Mailing Address - Fax:512-610-6190
Practice Address - Street 1:600 MAIN ST
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-5144
Practice Address - Country:US
Practice Address - Phone:830-262-2962
Practice Address - Fax:512-610-6190
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1191041363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily