| Provider / Organization | NPI | Date Certified |
|---|---|---|
| WILSON LUIS VELAZQUEZ | 1144385121 | 2024-07-05 |
Wilson L Velazquez MD [M] graduated in 1988 and primarily specializes in Pain Management.
Wilson Luis Velazquez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144385121. Registration indicates Wilson Luis Velazquez is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Anesthesiology (Anesthesiology: Pain Medicine, ) (All Other Specialties & Provider Types, ) (Anesthesiology Pain Medicine, Allopathic & Osteopathic Physicians) (Anesthesiology, )
| PECOS ID | 2365422300 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Wilson Luis 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 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 5617 Timbergate Dr Ste 100 | Corpus Christi, TX 784143193 | 3618808322 / 4844126963 |
| Code | Practice | License No State |
|---|---|---|
| 207LP2900X PRIMARY | Allopathic & Osteopathic Physicians Anesthesiology Anesthesiology: Pain Medicine All Other Specialties & Provider Types Anesthesiology Pain Medicine Allopathic & Osteopathic Physicians Anesthesiology | L8994
TX |