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Individual
DR. JUVENCIO VELASQUEZ JR.
Active
Individual
DR. JUVENCIO VELASQUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K5234
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0371502-01
—
TX
01
—
110211036
RR/MEDICARE
TX
01
—
80434K
BLUE SHIELD
TX
Enumeration date
04/05/2006
Last updated
12/10/2021
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