Individual
JEN M VELDHUYZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
539 W COMMERCE ST # 213, DALLAS, TX 75208-1953
(540) 730-8500
(540) 715-5488
Mailing address
8401 MAYLAND DR # 10617, RICHMOND, VA 23294-4648
(540) 730-8500
(540) 715-5488
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0101265916
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101265916
VIRGINIA MEDICAL LICENSE
VA
01
—
T3896
TEXAS MEDICAL LICENSE
TX
Enumeration date
09/16/2016
Last updated
05/05/2026
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