Velasco Di Domenico, Jose Carlos
Velasco Di Domenico, Jose Carlos is an individual health care provider with primary practice located at 2000 Pine St , Abilene TX 79601-2434. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Velasco Di Domenico, Jose Carlos can be contacted via phone (325) 670-6340.Contact Information
Primary practice address
2000 Pine St
Abilene TX 79601-2434
Phone: (325) 670-6340
Fax: (833) 437-1272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 04-37190 | Kansas |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 04-37190 | Kansas |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 04-37190 | Kansas |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 04-37190 | Kansas |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | T7760 | Texas |
Profile Details
| NPI number | 1376731968 |
|---|---|
| LBN Legal business name | Velasco Di Domenico, Jose Carlos |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Dec 20th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376731968 | NPPES |
| Kansas | MEDICAID | 201099520B | |
| Kansas | Other | 16701016 | |
| Kansas | MEDICAID | 200587760A | |
| Kansas | MEDICAID | 201099520A | |
| Kansas | Other | KA3434005 |
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