Individual provider · Type 1 NPI
Criselle Domini Codog Velasco
Physician Assistant · Abilene, TX
Practice location
2434 Hickory St
Abilene, TX 79698-0001
Mailing address
7024 Robbie Rd
Odessa, TX 79765-8931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | PA19872 (TX) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1386519833
Criselle Domini Codog Velasco's National Provider Identifier is 1386519833, issued on Oct 6, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Abilene, TX. The record was last updated on Feb 12, 2026.