Provider Demographics
NPI:1578637302
Name:VELA, BEATRICE (OD)
Entity Type:Individual
Prefix:DR
First Name:BEATRICE
Middle Name:
Last Name:VELA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 APPLEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-9170
Mailing Address - Country:US
Mailing Address - Phone:956-455-7242
Mailing Address - Fax:956-364-0401
Practice Address - Street 1:1801 W LINCOLN ST STE B
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-5924
Practice Address - Country:US
Practice Address - Phone:956-364-0400
Practice Address - Fax:956-364-0401
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6914TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist