Individual
ELEAZAR VERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 TITUS ST STE 130, GILMER, TX 75644-1780
(903) 758-2610
(903) 758-7081
Mailing address
1107 E MARSHALL AVE, LONGVIEW, TX 75601-5602
(903) 758-2610
(903) 758-7081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H8484
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123297
SUPERIOR
TX
05
—
135145401
—
TX
05
—
135145411
—
TX
01
—
8S5938
BLUE CROSS
TX
Enumeration date
02/23/2006
Last updated
08/26/2025
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