Individual
JOSE PINLAC VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E CENTER ST, KINGSPORT, TN 37660-4973
(423) 251-6996
(423) 251-6910
Mailing address
PO BOX 850, ROGERSVILLE, TN 37857-0850
(423) 921-6975
(423) 921-6920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26079
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3087701
—
TN
01
—
4057104
BCBST
—
Enumeration date
06/13/2005
Last updated
06/20/2025
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