Organization
PEDIATRIC HOSPITAL CARE OF LAREDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTTO R VELASQUEZ MD (CEO)
(877) 543-7247
Entity
Organization
Contact information
Practice address
5111 N 10TH ST # 281, MCALLEN, TX 78504-2835
(877) 543-7247
(956) 994-0114
Mailing address
5111 N 10TH ST # 281, MCALLEN, TX 78504-2835
(877) 543-7247
(956) 994-0114
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2023699-01
—
TX
Enumeration date
03/09/2009
Last updated
10/04/2012
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