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Organization
LAURA DEMOYA VEGA MD PA
Active
Organization
LAURA DEMOYA VEGA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA DEMOYA VEGA MD (MEDICAL DIRECTOR)
(469) 939-5330
Entity
Organization
Contact information
Practice address
6629 SONDRA DR, DALLAS, TX 75214-3404
(469) 939-5330
Mailing address
P O POX 140767, DALLAS, TX 75214-0767
(469) 939-5330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M4028
TX
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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