Individual
DR. EUGENE A VELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1643 LANCASTER DR STE 205, GRAPEVINE, TX 76051-3593
(817) 886-8552
(682) 688-7744
Mailing address
115 WENDOVER CT, SOUTHLAKE, TX 76092-8589
(347) 886-9433
(682) 688-7744
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
232772
NY
207RP1001X
Pulmonary Disease Physician
Primary
P3093
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
05
—
1019432100001
—
PA
01
—
1967484
BLUE SHIELD
PA
01
—
PENDING
BCBSTX
TX
05
—
PENDING
—
TX
Enumeration date
11/22/2006
Last updated
07/25/2022
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