Provider Demographics
NPI:1972679520
Name:VEGA NEGRON, ANABEL (DMD)
Entity Type:Individual
Prefix:
First Name:ANABEL
Middle Name:
Last Name:VEGA NEGRON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 GARTH RD STE 104
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3100
Mailing Address - Country:US
Mailing Address - Phone:281-427-4736
Mailing Address - Fax:281-427-4736
Practice Address - Street 1:4001 GARTH RD STE 104
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3100
Practice Address - Country:US
Practice Address - Phone:281-427-4736
Practice Address - Fax:281-427-4736
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX237101223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry