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Individual

DR. AUDEN C VELASQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
387 W IH 10, FORT STOCKTON, TX 79735-2700
(432) 336-0700
(844) 315-7400
Mailing address
511 N MAIN ST, FORT STOCKTON, TX 79735-5623
(432) 336-2291

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P0806
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
306780301
TX
Enumeration date
09/22/2008
Last updated
11/08/2019
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