Provider Demographics
NPI:1265604532
Name:ARMA VELASQUEZ,D.P.M
Entity type:Organization
Organization Name:ARMA VELASQUEZ,D.P.M
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-859-2120
Mailing Address - Street 1:8920 GATEWAY EAST BLVD.
Mailing Address - Street 2:SUITE 1
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-1828
Mailing Address - Country:US
Mailing Address - Phone:915-859-2120
Mailing Address - Fax:915-859-3164
Practice Address - Street 1:8920 GATEWAY EAST BLVD.
Practice Address - Street 2:SUITE 1
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-1828
Practice Address - Country:US
Practice Address - Phone:915-859-2120
Practice Address - Fax:915-859-3164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1587213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154210201Medicaid
TX154210201Medicaid