Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 125054497 | IL |
Y | 207PE0004X | Emergency Medical Services | P1942 | TX |
NPI | 1023257177 |
---|---|
Provider Name | Dr. Jose Veloso |
First Address | Lantana, TX 76226-6980 |
Second Address | Austin, TX 78752-3843 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2009 |
Last Update Date | 20/01/2020 |