MEDICARE: CARLOS R VELA

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	363A00000X	Physician Assistant	PA19247
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1780302919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS R VELA

Provider Business Mailing Address
First Line	:	2121 E GRIFFIN PKWY STE 6
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78572-3072
Country	:	US
Telephone Number	:	956-583-2300
Fax Number	:	956-622-5681

Provider Business Practice Location Address
First Line	:	1506 S LONE STAR WAY STE 7
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-4977
Country	:	US
Telephone Number	:	956-348-2918
Fax Number	:

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

Provider Enumeration Date	:	08/15/2022
Last Update Date	:	12/09/2025

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Directions to “ CARLOS R VELA ” Practice Location

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