Doctor Name: | DEENA DENISE VELAZQUEZ DONG |
NPI Number: | 1114281243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 787540 |
Business Practice Address: | 3316 Avenue H Rosenberg, TX - 774712801 |
Business Phone Number: | 8473152328 |
Business Fax Number: | 4844502617 |
Mailing Address: | 3316 Avenue H, ROSENBERG |
State: | TX |
Postal Code: | 774712801 |
Phone Number: | 8473152328 |
Fax Number: | 4844502617 |
NPI Enumeration Date: | 07/04/2012 |
NPI Last Update Date: | 02/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 787540 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |