Individual
JOSE G. VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1522 W FRANK AVE, LUFKIN, TX 75904-3334
(719) 544-8520
(719) 544-8442
Mailing address
227 SPRING BRANCH ST, LUFKIN, TX 75904-7540
(719) 671-7441
(719) 544-8442
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
38725
TX
103T00000X
Psychologist
Primary
38725
TX
103TM1800X
Intellectual & Developmental Disabilities Psychologist
38725
TX
Other
Enumeration date
06/30/2006
Last updated
05/31/2023
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