Individual
DR. EILEEN VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
255 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71106-8150
(318) 683-0411
(318) 603-5461
Mailing address
255 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71106-8150
(318) 683-0411
(318) 603-5461
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
14037R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041921
—
LA
01
—
P00422288
RAILROAD MEDICARE
LA
Enumeration date
06/19/2007
Last updated
11/30/2007
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