Provider Demographics
NPI:1316034382
Name:VERA, VIOLA E (LICENSED SOCIAL WORK)
Entity Type:Individual
Prefix:
First Name:VIOLA
Middle Name:E
Last Name:VERA
Suffix:
Gender:F
Credentials:LICENSED SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1236 ROCKY RD
Mailing Address - Street 2:
Mailing Address - City:UHLAND
Mailing Address - State:TX
Mailing Address - Zip Code:78640-6522
Mailing Address - Country:US
Mailing Address - Phone:512-679-3438
Mailing Address - Fax:512-632-7200
Practice Address - Street 1:1236 ROCKY RD
Practice Address - Street 2:
Practice Address - City:UHLAND
Practice Address - State:TX
Practice Address - Zip Code:78640-6522
Practice Address - Country:US
Practice Address - Phone:512-679-3438
Practice Address - Fax:512-632-7200
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
TX27841171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146555103OtherCASE MANAGEMENT