Gretchen M Velasco, Mdpa

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

L2725 Issued in TX

Legal business name

GRETCHEN M VELASCO, MDPA

Practice address

910 S Bryan Rd Ste 204W
Mission, TX 78572-6659

Phone

(956) 581-3900

Fax

(956) 581-3904

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Gretchen M Velasco, MDNPI 1811973480

Title

Self President

Phone

(956) 581-3900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: gretchenvelasco-mmgmv@direct.medalliesmail.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gretchen M Velasco, M.D.

  • Obstetrics & Gynecology Physician
  • Mission, TX
  • NPI 1811973480
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801979877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1748",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785730030",
            "telephone_number": "956-581-3900",
            "fax_number": "956-581-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S BRYAN RD STE 204W",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726659",
            "telephone_number": "956-581-3900",
            "fax_number": "956-581-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETCHEN M VELASCO, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SELF PRESIDENT",
        "authorized_official_telephone_number": "956-581-3900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L2725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Mission, TX
• Providers in Mission, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.