Provider Demographics
NPI:1477640191
Name:VELEZ, ADALI EFRAIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADALI
Middle Name:EFRAIN
Last Name:VELEZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 E HARRISON AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7309
Mailing Address - Country:US
Mailing Address - Phone:956-412-9500
Mailing Address - Fax:956-412-1146
Practice Address - Street 1:1610 E HARRISON AVE
Practice Address - Street 2:SUITE A
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7309
Practice Address - Country:US
Practice Address - Phone:956-412-9500
Practice Address - Fax:956-412-1146
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX184971223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics