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NELLY VELASQUEZMDPA NPI 1790953271


NPI Information

NPI: 1790953271
Provider Name: NELLY VELASQUEZ,MD,PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D1028105

Address:
900 E 30TH ST STE 205
AUSTIN, TX
ZIP 78705
Phone: (512) 236-1100
Get Directions

NELLY VELASQUEZ,MD,PA is a family medicine in Austin, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NELLY VELASQUEZ,MD,PA NPI is 1790953271. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 E 30TH ST STE 205
AUSTIN, TX
ZIP 78705
Phone: (512) 236-1100
Fax: (512) 236-1128

The provider's authorized official is Nelly Del Carmen Velasquez .
The authorized official title is President and has the following contact phone number (512) 236-1100.

The CLIA number assigned to this NPI record is 45D1028105 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2008 and was last updated on 6/28/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineL8547TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1165096201MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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