Individual
ANGELICA LOPEZ VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
7706 BANDERA RD STE 104E, SAN ANTONIO, TX 78238-1473
(210) 763-7763
Mailing address
8323 PIEDRA MEDINA, SAN ANTONIO, TX 78252-4519
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14864
TX
111NI0013X
Independent Medical Examiner Chiropractor
14864
TX
111NR0400X
Rehabilitation Chiropractor
14864
TX
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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