Organization
VEGA THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA VEGA OTR, CHT (OWNER)
(956) 271-4706
Entity
Organization
Contact information
Practice address
2415 E GRIFFIN PKWY, MISSION, TX 78572-3301
(956) 271-4706
(956) 271-4708
Mailing address
2415 E GRIFFIN PKWY, MISSION, TX 78572-3241
(956) 271-4706
(956) 271-4708
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
103534
TX
Other
Enumeration date
07/06/2010
Last updated
02/15/2011
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