Provider Demographics
NPI:1821822404
Name:VELA, ISAAC JULIAN (DPT)
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:JULIAN
Last Name:VELA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 LARK CT
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2296
Mailing Address - Country:US
Mailing Address - Phone:956-821-2901
Mailing Address - Fax:
Practice Address - Street 1:931 S MCCOLL RD STE B
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-2936
Practice Address - Country:US
Practice Address - Phone:956-329-1100
Practice Address - Fax:866-332-4835
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1399058225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist