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NPI Code Detail

MEDICARE: ROBERT W. VERA M.D.

MEDICARE: ROBERT W. VERA M.D.
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
1207V00000XObstetrics & Gynecology PhysicianG0235TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962505479
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT W. VERA M.D.
Provider Business Mailing Address
First Line : 8061 ALAMEDA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79915-4705
Country : US
Telephone Number : 915-859-7545
Fax Number : 915-859-9862
Provider Business Practice Location Address
First Line : 8061 ALAMEDA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79915-4705
Country : US
Telephone Number : 915-859-7545
Fax Number : 915-859-9862
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 07/21/2022

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