MEDICARE: DR. CAROLINA VELEZ ISAZA M.D.

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	207P00000X	Emergency Medicine Physician	P7998	TX

General Provider Information

NPI Number	:	1700164829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLINA VELEZ ISAZA M.D.

Provider Business Mailing Address
First Line	:	2204 E SIDE DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-5213
Country	:	US
Telephone Number	:	512-440-8333
Fax Number	:

Provider Business Practice Location Address
First Line	:	4015 SOUTH LAMAR BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704
Country	:	US
Telephone Number	:	512-440-8333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2011
Last Update Date	:	01/29/2026

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