Provider Demographics
NPI:1669083937
Name:VEGA, ARTURO II
Entity type:Individual
Prefix:MR
First Name:ARTURO
Middle Name:
Last Name:VEGA
Suffix:II
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:ART
Other - Middle Name:
Other - Last Name:VEGA
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5000 EDINBURGH DR APT 904
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-2713
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5000 EDINBURGH DR APT 904
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-2713
Practice Address - Country:US
Practice Address - Phone:956-648-1574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty