Individual
DR. ROGER ALLEN VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6810 WEST AVE, UNIT A, SAN ANTONIO, TX 78213-1817
(210) 983-3937
Mailing address
6810 WEST AVE, STE A, SAN ANTONIO, TX 78213-1817
(210) 450-9400
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
P9481
TX
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
P4981
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336193305
—
TX
Enumeration date
05/07/2010
Last updated
09/18/2024
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