Organization
SOUTHWEST NEPHROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A VELASQUEZ D.O (DOCTOR)
(915) 855-8519
Entity
Organization
Contact information
Practice address
9440 VISCOUNT BLVD, SUITE 210, EL PASO, TX 79925-7049
(915) 855-8519
(915) 849-8238
Mailing address
9440 VISCOUNT BLVD, SUITE 210, EL PASO, TX 79925-7049
(915) 855-8519
(915) 849-8238
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
L2726
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201456503
—
TX
Enumeration date
03/18/2015
Last updated
03/18/2015
Update your record
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