Organization
ROGER A VELASQUEZ MD MPH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE VELASQUEZ (ADMINISTRATOR)
(210) 983-3937
Entity
Organization
Contact information
Practice address
6810 WEST AVE, SAN ANTONIO, TX 78213-1817
(210) 415-6931
Mailing address
110 LARKWOOD DR, SAN ANTONIO, TX 78209-2908
(210) 415-6931
Taxonomy
Speciality
Code
Description
License number
State
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
P9481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336193303
—
TX
Enumeration date
06/04/2018
Last updated
12/17/2024
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