Individual
MR. JOSE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6159
Mailing address
11743 TREY BURTON DR, EL PASO, TX 79936-7010
(915) 588-1962
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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