Individual
MS. OPHELIA VELASQUEZ O'SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
4501 SWISS AVE, DALLAS, TX 75204
(214) 820-8700
(214) 818-8707
Mailing address
4501 SWISS AVENUE, DALLAS, TX 75204
(214) 820-8700
(214) 818-8707
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
643424
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
643424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172976601
—
TX
05
—
172976602
—
TX
05
—
172976603
—
TX
05
—
172976604
—
TX
05
—
172976605
—
TX
01
—
8Y0091
BCBS
TX
Enumeration date
07/08/2006
Last updated
04/07/2022
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