Individual
MOISES DAVID VELIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
12910 MARIDELL PARK, SAN ANTONIO, TX 78253-3422
(478) 442-1934
Mailing address
PSC 78 BOX 6672, APO, AP 96326-0067
(478) 442-1934
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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