Xiomara Velazco, M.D. P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N6749 Issued in TX

Legal business name

XIOMARA VELAZCO, M.D. P.A.

Practice address

4800 NE Stallings Dr.
Suite 1500
Nacogdoches, TX 75965-1207

Phone

(936) 715-9470

Fax

(936) 715-9475

NPI assigned

Aug 3, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Xiomara Velazco, M.D.

Title

Owner

Phone

(936) 715-9470

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1376857268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 NE STALLINGS DR.",
            "address_2": "SUITE 1500",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651207",
            "telephone_number": "936-715-9470",
            "fax_number": "936-715-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE STALLINGS DR.",
            "address_2": "SUITE 1500",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651207",
            "telephone_number": "936-715-9470",
            "fax_number": "936-715-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIOMARA VELAZCO, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "VELAZCO",
        "authorized_official_first_name": "XIOMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-715-9470",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N6749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsi Woods
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• Kangni Wu
• Stephen Edward Wyatt, PHARMD, RPH
• Darrell G Yarbrough, LCSW
• Audrey Gwen Young, ED.D
• James R Young, M.D.
• Timothy Noel Young, MD
• Gustave Walter Younger III, ATC, LAT

• Internal Medicine Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.