Individual
DONNA S. VEGEAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3851 ROGER BROOKE DR, BROOKE ARMY MEDICAL CENTER MCHE-QD/CREDENTIALS, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
(210) 916-5102
Mailing address
14500 BLANCO RD, APT. #1411, SAN ANTONIO, TX 78216-7858
(210) 540-0804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47740
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34630100
—
WI
Enumeration date
03/09/2006
Last updated
04/08/2013
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