MEDICARE: OMAR VERA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	42073	TX

General Provider Information

NPI Number	:	1285421677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMAR VERA

Provider Business Mailing Address
First Line	:	635 ALBANY ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02118-3550
Country	:	US
Telephone Number	:	617-358-8300
Fax Number	:

Provider Business Practice Location Address
First Line	:	947 GESSNER RD STE A230
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1728
Country	:	US
Telephone Number	:	713-332-9842
Fax Number	:	832-487-1869

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2025
Last Update Date	:	04/06/2026

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Directions to “ OMAR VERA ” Practice Location

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