Provider Demographics
NPI:1902972284
Name:VELEZ, KATHERINE NICHOLE (MD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:NICHOLE
Last Name:VELEZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:NICHOLE
Other - Last Name:VELEZ GARCIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:920 MEDICAL PLAZA DR STE 140
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3751
Mailing Address - Country:US
Mailing Address - Phone:713-486-6760
Mailing Address - Fax:713-486-6770
Practice Address - Street 1:8701 MAITLAND SUMMIT BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-5915
Practice Address - Country:US
Practice Address - Phone:407-916-4522
Practice Address - Fax:407-916-4525
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN33702080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology