Velazquez Medical Practice Pa | |
4747 Bellaire Blvd Ste 210 Bellaire TX 77401 | |
(713) 800-7401 | |
(713) 523-6461 |
Full Name | Velazquez Medical Practice Pa |
---|---|
Speciality | Internal Medicine |
Location | 4747 Bellaire Blvd Ste 210, Bellaire, Texas |
Authorized Official Name and Position | Francisco Javier Velazquez (OWNER) |
Authorized Official Contact | 7135237844 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Velazquez Medical Practice Pa 4747 Bellaire Blvd Ste 210 Bellaire TX 77401-4518 Ph: (713) 523-7844 | Velazquez Medical Practice Pa 4747 Bellaire Blvd Ste 210 Bellaire TX 77401 Ph: (713) 800-7401 |
NPI Number | 1639266059 |
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Provider Enumeration Date | 10/06/2006 |
Last Update Date | 11/06/2018 |
Medicare PECOS PAC ID | 9931279288 |
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Medicare Enrollment ID | O20080603000118 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639266059 | NPI | - | NPPES |
194551101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Texas) | Primary |
Provider Name | Francisco J Velazquez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922096197 PECOS PAC ID: 6305851775 Enrollment ID: I20060207000672 |
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