Provider Demographics
NPI:1629224670
Name:ANDINO-VELEZ, JULIO JOSE (MD)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:JOSE
Last Name:ANDINO-VELEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1067
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75030-1067
Mailing Address - Country:US
Mailing Address - Phone:469-443-0742
Mailing Address - Fax:469-443-0501
Practice Address - Street 1:3140 HORIZON RD STE 105
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-7820
Practice Address - Country:US
Practice Address - Phone:469-443-0742
Practice Address - Fax:469-443-0501
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP200449902084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology