Individual
MS. ANGELA JANE VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 S RUSK AVE, DENISON, TX 75020-6340
(903) 462-7518
Mailing address
1931 W JOHNSON ST, DENISON, TX 75020-1605
(903) 328-4630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15954
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15954
—
TX
Enumeration date
08/15/2022
Last updated
08/15/2022
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