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Individual

DR. OTTO R VELASQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5111 N 10TH ST # 281, MCALLEN, TX 78504-2835
(877) 543-7247
(956) 994-0114
Mailing address
5111 N 10TH ST # 281, MCALLEN, TX 78504-2835
(956) 279-4501
(956) 994-0114

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K2130
TX
208M00000X
Hospitalist Physician
K2130
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121417306
TX
05
167227101
TX
Enumeration date
10/20/2006
Last updated
11/01/2025
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