| Jeremy J. Vela, D.d.s., P.l.l.c. | |
|
8800 Katy Fwy Ste 280 Houston TX 77024-1645 | |
| (713) 365-9904 | |
| Not Available |
| Full Name | Jeremy J. Vela, D.d.s., P.l.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8800 Katy Fwy Ste 280, Houston, Texas |
| Authorized Official Name and Position | Jeremy J Vela (MANAGER) |
| Authorized Official Contact | 3618773997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy J. Vela, D.d.s., P.l.l.c. 8800 Katy Fwy Ste 280 Houston TX 77024-1645 Ph: (713) 365-9904 | Jeremy J. Vela, D.d.s., P.l.l.c. 8800 Katy Fwy Ste 280 Houston TX 77024-1645 Ph: (713) 365-9904 |
| NPI Number | 1720709926 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 0042743023 |
|---|---|
| Medicare Enrollment ID | O20241029003804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720709926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Jeremy Jason Vela |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386205136 PECOS PAC ID: 1951834936 Enrollment ID: I20241029004055 |
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