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General NPI Number Information
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NPI Number | 1780302919
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Entity Type | Individual
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Provider Name | CARLOS R VELA
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Gender | Male
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1506 S LONE STAR WAY STE 7
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City | EDINBURG
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State | TX
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Zip | 78539-4977
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Country | US
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Telephone | 956-348-2918
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 E GRIFFIN PKWY STE 6
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City | MISSION
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State | TX
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Zip | 78572-3072
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Country | US
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Telephone | 956-583-2300
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Fax | 956-622-5681
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA19247
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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