Wilson Velazquez, Md, Pa

NPI Registration Record

Provider / Organization	NPI	Date Certified
WILSON VELAZQUEZ, MD, PA	1053521641	2024-07-05

The organization Wilson Velazquez, Md, Pa is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1053521641. Registration indicates Wilson Velazquez, Md, Pa is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Anesthesiology (Anesthesiology, ) (All Other Specialties & Provider Types, ) (Anesthesiology, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Anesthesiology) (Anesthesiology: Pain Medicine, ) (All Other Specialties & Provider Types, ) (Anesthesiology Pain Medicine, Allopathic & Osteopathic Physicians) (Anesthesiology, )

Entity Type	Organization

Provider Organization	WILSON VELAZQUEZ, MD, PA
Practice Office Address	5959 S STAPLES ST STE 100 CORPUS CHRISTI, TX US
Practice Office Telephone	3619919300
Practice Office Fax	3619919350
Mailing Address	5959 S STAPLES ST STE 100 CORPUS CHRISTI, TX 784133844 US
Business Telephone	3619919300
Business Fax	3619919350
Authorized Official	WILSON VELAZQUEZ, PHYSICIAN 3619919300

HPT Codes

Code	Practice	License No State
207L00000X	Allopathic & Osteopathic Physicians Anesthesiology Anesthesiology All Other Specialties & Provider Types Anesthesiology Allopathic & Osteopathic Physicians
207LP2900X PRIMARY	Allopathic & Osteopathic Physicians Anesthesiology Anesthesiology: Pain Medicine All Other Specialties & Provider Types Anesthesiology Pain Medicine Allopathic & Osteopathic Physicians Anesthesiology
193200000X MULT		Group Code
193200000X MULT		Group Code

OPI Codes

177441601	MEDICAID	TX
00171Z	OTHER	TX	PTAN

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