Individual
ISEL MARIA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2364
Mailing address
2401 S 31ST ST, TEMPLE, TX 76508-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10061538
TX
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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