Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 270629 | MA |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | T2283 | TX |
N | 2081P2900X | Pain Medicine | T2283 | TX |
NPI | 1013361591 |
---|---|
Provider Name | Miguel Ernesto Velez |
First Address | Pearland, TX 77584-7298 |
Second Address | Houston, TX 77025-1669 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2016 |
Last Update Date | 28/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
428111502 | (05) | TX |