| NPI Details | |
|---|---|
| NPI | 1043614209 |
| Gender | Female |
| Enumeration Date | 10/17/2014 |
| Last Updated | 10/17/2014 |
| Entity Type | Individual |
| Active | Over 2 years ago |
| Practice Location | |
|---|---|
| 1631 E 2ND ST STE A AUSTIN TX, 78702-4491, US |
|
| Phone | (512) 804-3380 |
| Fax | (512) 472-5857 |
| Business Location | |
|---|---|
| 1430 COLLIER ST AUSTIN TX, 78704-2911, US |
|
| Phone | (512) 472-4357 |
| Fax | (512) 703-1394 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YA0400X |
| License State | Texas |
| License Number | 12657 |
| Remove 1043614209 NPI Number | |
According to our database, Vanessa Vega LCDC NPI is 1043614209, taxonomy code is 101YA0400X and license number is 12657, license state is located at Texas. Vanessa Vega LCDC physically located at 1631 E 2nd St Ste A, Austin TX, 78702-4491. NPI Number Vanessa Vega LCDC has the Individual type.
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1043614209 NPI number is provided on an as is basis without warranty of any kind. 1043614209 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Vega LCDC are for informational purposes only.
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