Individual
DIEGO VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HWY 80 E., HOUSTON, MS 38851-9396
(800) 893-9698
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12667
MS
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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