Individual
MS. MARIANITA A VELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1835 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6501
(817) 305-0050
Mailing address
1835 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6501
(817) 305-0050
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04239
TX
Other
Enumeration date
02/19/2007
Last updated
11/28/2017
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