Healthcare Provider Details

I. General information

NPI: 1386820579
Provider Name (Legal Business Name): VELOCITY EMG,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2008
Last Update Date: 01/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 WELLS FARGO DR SUITE112
HOUSTON TX
77090-4044
US

IV. Provider business mailing address

530 WELLS FARGO DR SUITE112
HOUSTON TX
77090-4044
US

V. Phone/Fax

Practice location:
  • Phone: 281-440-3500
  • Fax: 281-440-3504
Mailing address:
  • Phone: 281-440-3500
  • Fax: 281-440-3504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN PURDON
Title or Position: CEO
Credential: BBA,CNIM
Phone: 281-440-3500