Provider Demographics
NPI:1689994428
Name:DURAND SANCHEZ, ANA VELLA (MD)
Entity Type:Individual
Prefix:
First Name:ANA VELLA
Middle Name:
Last Name:DURAND SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3024 BRIDLE PATH LN
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-3057
Mailing Address - Country:US
Mailing Address - Phone:347-907-2789
Mailing Address - Fax:281-617-4242
Practice Address - Street 1:2121 BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2153
Practice Address - Country:US
Practice Address - Phone:346-907-3000
Practice Address - Fax:346-907-3395
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP1177208100000X
IN01070579A208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201086660Medicaid
IN000000788829OtherANTHEM
IN264220002Medicare PIN