Healthcare Provider Details

I. General information

NPI: 1881776367
Provider Name (Legal Business Name): OTTO VELASQUEZ MD PHD & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 11/01/2025
Certification Date: 11/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5111 N 10TH ST # 281
MCALLEN TX
78504-2835
US

IV. Provider business mailing address

5111 N 10TH ST # 281
MCALLEN TX
78504-2835
US

V. Phone/Fax

Practice location:
  • Phone: 877-543-7247
  • Fax: 956-994-0114
Mailing address:
  • Phone: 956-279-4501
  • Fax: 956-994-0114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberK2130
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. OTTO R. VELASQUEZ
Title or Position: OWNER
Credential: M.D.
Phone: 956-279-4315