Individual
MR. EDWARD JAMES VEGA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1704 GLENN DR, BLUE MOUND, TX 76131-1109
(214) 789-6164
Mailing address
1704 GLENN DR, BLUE MOUND, TX 76131-1109
(214) 789-6164
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6379
TX
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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