Individual
JORGE LUIS VELEZ FOURNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, BSME
Contact information
Practice address
3434 W ILLINOIS AVE STE 306-3, DALLAS, TX 75211-8709
(214) 623-1900
(214) 623-1901
Mailing address
12377 MERIT DR STE 300, DALLAS, TX 75251-3126
(972) 957-3000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2021-01722
NC
208000000X
Pediatrics Physician
Primary
T7073
TX
Other
Enumeration date
04/19/2017
Last updated
04/29/2022
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