MEDICARE: HEALTHVELOCITY PLLC

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
1	122300000X	Dentist

General Provider Information

NPI Number	:	1285761577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHVELOCITY PLLC

Provider Business Mailing Address
First Line	:	9494 SOUTHWEST FWY
Second Line	:	SUITE 820
City	:	HOUSTON
State	:	TX
Zip	:	77074-1419
Country	:	US
Telephone Number	:	713-599-1114
Fax Number	:	713-599-0616

Provider Business Practice Location Address
First Line	:	9494 SOUTHWEST FWY
Second Line	:	SUITE 820
City	:	HOUSTON
State	:	TX
Zip	:	77074-1419
Country	:	US
Telephone Number	:	713-599-1114
Fax Number	:	713-599-0616

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MR. HAROLD A. ODOM JR.
Credential	:
Telephone Number	:	713-599-1114

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	08/22/2020

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Directions to “HEALTHVELOCITY PLLC ” Practice Location

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