Individual
ANGELA PATRICIA VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6601 RIALTO BLVD APT 6213, AUSTIN, TX 78735-0063
(512) 720-1323
Mailing address
6701 RIALTO BLVD APT 1102, AUSTIN, TX 78735-8593
(512) 720-1323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1143824335
ZZ
122300000X
Dentist
1143824335
—
1223P0700X
Prosthodontics
Primary
39085
TX
126800000X
Dental Assistant
Primary
—
—
126900000X
Dental Laboratory Technician
—
—
Other
Enumeration date
06/01/2019
Last updated
02/25/2026
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