Individual
MS. IVELISSE VELEZ-VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(713) 776-0655
(713) 776-1069
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
(713) 779-9813
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00191
TX
246ZS0410X
Surgical Technologist
067880LCCST
TX
246ZS0410X
Surgical Technologist
SA00191
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N4268
BCBS
TX
Enumeration date
05/09/2007
Last updated
02/18/2014
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