Provider Demographics
NPI:1346201175
Name:VELASQUEZ, WILLIAM S (M D)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:S
Last Name:VELASQUEZ
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:902 FROSTWOOD DR
Mailing Address - Street 2:SUITE 315
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2420
Mailing Address - Country:US
Mailing Address - Phone:713-800-0656
Mailing Address - Fax:713-827-1380
Practice Address - Street 1:7737 SOUTHWEST FWY
Practice Address - Street 2:SUITE 575
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1807
Practice Address - Country:US
Practice Address - Phone:713-778-0300
Practice Address - Fax:713-778-0303
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8218207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116202609Medicaid
TX116202610Medicaid
TX10036584OtherAMERIGROUP
TX2322957OtherBLUE LINK
TX116202608Medicaid
TX8P0571OtherBLUECHOICE
TX116202607Medicaid
5592436OtherAETNA
4653339OtherAETNA
TX000299OtherMHHNP
TX8P0571OtherBLUECHOICE
TX116202608Medicaid
TX2322957OtherBLUE LINK