Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | K9445 | TX |
NPI | 1154549954 |
---|---|
Provider Name | Maria D Velazquez |
First Address | El Paso, TX 79938-2655 |
Second Address | El Paso, TX 79938-2655 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 20/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
186812701 | (05) | TX |
8J7218 | (02) | TX |
92836356 | (05) | NM |
BV7195274 | DEA (01) | |
CS00207686 | CSR (01) | NM |
P00424854 | (02) | GA |