# DR. JAIME LUIS VELASCO MASSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356541197
- **Gender:** Man
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | R6499 | TX | — |
| 208000000X | Pediatrics Physician | 2013021824 | MO | — |
| 208000000X | Pediatrics Physician | 4301096765 | MI | — |
| 208000000X | Pediatrics Physician | C1732 | KY | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | 4301096765 | MI | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | 44190 | OK | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | C1732 | KY | Yes |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | R6499 | TX | — |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 05/13/2026