Provider Demographics
NPI:1740519982
Name:R VELA & B VELA PLLC
Entity type:Organization
Organization Name:R VELA & B VELA PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRIAGA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:361-994-4900
Mailing Address - Street 1:1015 E HENRIETTA AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-4733
Mailing Address - Country:US
Mailing Address - Phone:361-592-4373
Mailing Address - Fax:361-592-4376
Practice Address - Street 1:1015 E HENRIETTA AVE
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-4733
Practice Address - Country:US
Practice Address - Phone:361-592-4373
Practice Address - Fax:361-592-4376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-17
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX205253201Medicaid