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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
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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