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General NPI Number Information
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NPI Number | 1821328493
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Entity Type | Organization
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Legal Business Name | ISIDRA VEVE M.D. PLLC
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Dates
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Enumeration Date | 01/05/2010
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 410 N CARROLL AVE SUITE 170
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6455
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Country | US
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Telephone | 817-442-1250
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Fax |
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Provider Business Mailing Address
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Address Line | 410 N CARROLL AVE SUITE 170
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6455
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Country | US
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Telephone | 817-442-1250
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ISIDRA VEVE
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Credential | MD
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Telephone | 817-442-1250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | M7726
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | M7726
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License Number State | TX
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