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Individual

GUSTAVO ALONZO VELA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMSC, MA, MPAS, PA-C

Contact information

Practice address
2717 MICHAELANGELO DR STE 200, EDINBURG, TX 78539-1412
(956) 362-2250
(956) 362-2251
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-2250
(956) 362-2251

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05400
TX

Other

Enumeration date
08/10/2007
Last updated
11/08/2023
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