Provider Demographics
NPI:1720709926
Name:JEREMY J. VELA, D.D.S., P.L.L.C.
Entity Type:Organization
Organization Name:JEREMY J. VELA, D.D.S., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:J
Authorized Official - Last Name:VELA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:361-877-3997
Mailing Address - Street 1:8800 KATY FWY STE 280
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1645
Mailing Address - Country:US
Mailing Address - Phone:713-365-9904
Mailing Address - Fax:
Practice Address - Street 1:8800 KATY FWY STE 280
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1645
Practice Address - Country:US
Practice Address - Phone:713-365-9904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental