Individual
MR. GEORGE VERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1601 E SPRAGUE ST, EDINBURG, TX 78542
(956) 378-9290
(956) 378-9376
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 378-9290
(956) 378-9376
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09605
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360074401
—
TX
01
—
514409ZT6L
WELLMED PTAN
TX
Enumeration date
02/09/2015
Last updated
08/30/2018
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