Healthcare Provider Details
I. General information
NPI: 1104796549
Provider Name (Legal Business Name): VUELA THERAPEUTIC SPECIALISTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1612 PECAN BLVD
MCALLEN TX
78501-4215
US
IV. Provider business mailing address
3408 NORTHERN LIGHTS AVE
EDINBURG TX
78541-4462
US
V. Phone/Fax
- Phone: 956-467-8252
- Fax: 956-467-8252
- Phone: 956-467-8252
- Fax: 956-474-9770
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DORALI
GARCIA
Title or Position: OTR/OWNER
Credential: OTR
Phone: 956-467-8252