Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | Q1527 | TX |
Y | 207YP0228X | Pediatric Otolaryngology | Q1527 | TX |
NPI | 1295714871 |
---|---|
Provider Name | Maria Clemencia Veling |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2006 |
Last Update Date | 21/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000381956 | ANTHEM - NICC (01) | KY |
196290WW | (02) | IN |
200182210 | (05) | IN |
64305352 | (05) | KY |
G18929 | (02) | |
P00337940 | RAILROAD MEDICARE - NICC (01) | KY |