Individual
DEENA DENISE VELAZQUEZ DONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-C
Contact information
Practice address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 244-8200
(512) 244-8403
Mailing address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 244-8200
(512) 244-8403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
787540
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
122027
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080462703
—
TX
Enumeration date
07/04/2012
Last updated
11/05/2018
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