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Organization
VILLAGEMD INDIANA, PC
Active
Organization
VILLAGEMD INDIANA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA RAGER (DIRECTOR REVENUE CYCLE)
(832) 257-6915
Entity
Organization
Contact information
Practice address
6097 BROADWAY, MERRILLVILLE, IN 46410-2619
(888) 975-1055
(713) 647-0307
Mailing address
4650 WESTWAY PARK BLVD STE 206, HOUSTON, TX 77041-2006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01078373A
IN
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01078373A
IN
225100000X
Physical Therapist
01078373A
IN
Other
Enumeration date
05/15/2017
Last updated
11/24/2025
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