Individual
PEDRO VELASQUEZ III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA,CMRT,MA
Contact information
Practice address
18867 FM 1314 RD, CONROE, TX 77302-5925
(832) 428-4962
Mailing address
18867 FM 1314 RD, CONROE, TX 77302-5925
(832) 428-4962
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2052190
TX
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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