Individual
ANDREW MICHAEL DE LA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
224 W PLEASANT RUN RD, CEDAR HILL, TX 75104-5402
(214) 531-7813
(214) 421-4804
Mailing address
1341 W MOCKINGBIRD LN STE 600, DALLAS, TX 75247-6913
(214) 531-7813
(214) 421-4804
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA08274
TX
Other
Enumeration date
01/23/2013
Last updated
11/06/2023
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