Provider Demographics
NPI:1801877436
Name:VELACORP LTD
Entity type:Organization
Organization Name:VELACORP LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VELA
Authorized Official - Suffix:
Authorized Official - Credentials:RPL
Authorized Official - Phone:956-686-3716
Mailing Address - Street 1:1901 S 1ST ST STE 100
Mailing Address - Street 2:STE 100
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1215
Mailing Address - Country:US
Mailing Address - Phone:956-686-3716
Mailing Address - Fax:956-631-0951
Practice Address - Street 1:1901 S 1ST ST STE 100
Practice Address - Street 2:STE 100
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1215
Practice Address - Country:US
Practice Address - Phone:956-686-3716
Practice Address - Fax:956-631-0951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X, 333600000X, 3336C0004X, 3336H0001X, 3336C0004X
TX104443336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2098358OtherPK
0244440001Medicare NSC
TX079070102Medicaid
TX0244440001Medicare NSC
TX013903201Medicaid
TX519402OtherBCBS
TX126835103Medicaid
TX126835102Medicaid
TX5320285OtherAETNA