Individual
DR. DEANNE L VESELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4421 STATE HIGHWAY 6 S STE 100, COLLEGE STATION, TX 77845-6176
(979) 690-4460
(979) 690-4461
Mailing address
4421 STATE HIGHWAY 6 S STE 100, COLLEGE STATION, TX 77845-6176
(979) 690-4828
(979) 690-4829
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41351
CO
207Q00000X
Family Medicine Physician
Primary
L5168
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144219312
—
TX
05
—
55607225
—
CO
Enumeration date
10/19/2005
Last updated
10/09/2024
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