# VILLAGEMD INDIANA, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336676923
- **Authorized official:** REBECCA RAGER (DIRECTOR REVENUE CYCLE)
- **Authorized official phone:** (832) 257-6915

## Contact information

- **Practice address:** 6097 BROADWAY, MERRILLVILLE, IN 46410-2619
- **Practice address phone:** (888) 975-1055
- **Practice address fax:** (713) 647-0307
- **Mailing address:** 4650 WESTWAY PARK BLVD STE 206, HOUSTON, TX 77041-2006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01078373A | IN | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 01078373A | IN | — |
| 225100000X | Physical Therapist | 01078373A | IN | — |

## Other

- **Enumeration date:** 05/15/2017
- **Last updated:** 11/24/2025