Provider Demographics
NPI:1104094085
Name:VELA, PRISCILLA MARY ANN (MS CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:PRISCILLA
Middle Name:MARY ANN
Last Name:VELA
Suffix:
Gender:F
Credentials:MS CCC/SLP
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Mailing Address - Street 1:1217 W HOUSTON AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-5012
Mailing Address - Country:US
Mailing Address - Phone:956-631-9171
Mailing Address - Fax:956-631-7566
Practice Address - Street 1:2422 E TYLER AVE #C
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-423-9171
Practice Address - Fax:956-361-5440
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX101901235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX310991002Medicaid