Organization
CENTROSALUD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASTRID D VELASQUEZ (CLINIC MANAGER)
(901) 531-8800
Entity
Organization
Contact information
Practice address
6063 MOUNT MORIAH ROAD EXT, SUITE 4, MEMPHIS, TN 38115-2644
(901) 531-8800
(901) 531-8801
Mailing address
6063 MT MORIAH RD EXT, MEMPHIS, TN 38115-2644
(901) 531-8800
(901) 531-8801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD29316
TN
207R00000X
Internal Medicine Physician
Primary
MD653723
TN
208000000X
Pediatrics Physician
MD023823
TN
363LF0000X
Family Nurse Practitioner
APN8252
TN
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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