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NPI Code Detail

MEDICARE: NELSON DANIEL CHANG VELAZQUEZ

MEDICARE:   NELSON DANIEL CHANG VELAZQUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician

General Provider Information

NPI Number : 1164222949
Entity Type Code : Individual
Provider Name (Legal Business Name) : NELSON DANIEL CHANG VELAZQUEZ
Provider Business Mailing Address
First Line : 3800 FABIANNA DR
Second Line :
City : KILLEEN
State : TX
Zip : 76549-2897
Country : US
Telephone Number : 865-296-8399
Fax Number :
Provider Business Practice Location Address
First Line : 2020 HEIGHTS DR
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-2000
Country : US
Telephone Number : 254-699-4721
Fax Number : 254-699-4783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2025
Last Update Date : 03/19/2025

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Directions to “ NELSON DANIEL CHANG VELAZQUEZ ” Practice Location

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