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Jessie Velazquez
NPI 1841772910 · on the registry since 2018
Practice
- Address
- 1921 Tisinger Ave
Dallas, TX 75228 - Phone
- (469) 767-1409
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 2255A2300X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas