Healthcare Provider Details

I. General information

NPI: 1073420006
Provider Name (Legal Business Name): MARIA VELEZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA ANTONESCU

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W BEN WHITE BLVD
AUSTIN TX
78704-6903
US

IV. Provider business mailing address

1403 NORWALK LN APT 105
AUSTIN TX
78703-3749
US

V. Phone/Fax

Practice location:
  • Phone: 281-467-6226
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number77430
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: