Individual
JENNIFER GAIL VELTKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
P.O.BOX 845347, DALLAS, TX 75284-5437
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
K5474
TX
2085R0202X
Diagnostic Radiology Physician
K5474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044831802
—
TX
Enumeration date
05/17/2006
Last updated
05/12/2022
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