Individual
ELMER VELASCO LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6500 QUAKER AVE, SUITE A, LUBBOCK, TX 79413
(806) 785-7771
(806) 785-2842
Mailing address
6500 QUAKER AVE, SUITE A, LUBBOCK, TX 79413
(806) 785-7771
(806) 785-2842
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1033702
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10775437
CAQH
TX
01
—
7359404
BLUE LINE
TX
Enumeration date
09/01/2006
Last updated
08/24/2010
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