Provider Demographics
NPI:1801519491
Name:MEDIGY GROUP PLLC
Entity type:Organization
Organization Name:MEDIGY GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-379-6334
Mailing Address - Street 1:6440 N CENTRAL EXPY STE 307
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-4173
Mailing Address - Country:US
Mailing Address - Phone:817-379-6334
Mailing Address - Fax:817-379-6335
Practice Address - Street 1:6440 N CENTRAL EXPY STE 307
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-4173
Practice Address - Country:US
Practice Address - Phone:817-379-6334
Practice Address - Fax:817-379-6335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty