Organization
LINDA VELASQUEZ MD PA
Active
Other names
Presidio Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA VELASQUEZ M.D. (PRESIDENT/OWNER)
(915) 500-5030
Entity
Organization
Contact information
Practice address
9740 DYER ST STE 112, EL PASO, TX 79924-4760
(915) 500-5030
(915) 500-5001
Mailing address
9740 DYER ST STE 112, EL PASO, TX 79924-4760
(915) 500-5030
(915) 500-5001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M6437
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190698402
—
TX
Enumeration date
06/04/2012
Last updated
06/04/2012
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