Individual
LARISSA I VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 648-3916
(214) 648-8423
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-3916
(214) 648-8423
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
K8549
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104621101
—
TX
Enumeration date
04/11/2006
Last updated
05/24/2016
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