Individual
DR. CARLOS RICARDO VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 PAPPAS ST, LAREDO, TX 78041-1705
(956) 795-8100
(956) 795-8135
Mailing address
2007 S ZAPATA HWY, LAREDO, TX 78046-6510
(956) 795-8100
(956) 795-8135
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2171
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176204901
MEDICAID TPI
TX
01
—
M2171
LICENSE
TX
Enumeration date
07/06/2006
Last updated
12/03/2015
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