Provider Demographics
NPI:1447351176
Name:VEGA, DAMARIS (MD)
Entity type:Individual
Prefix:
First Name:DAMARIS
Middle Name:
Last Name:VEGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DAMARIS
Other - Middle Name:
Other - Last Name:VEGA-ANADON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:13333 DOTSON RD STE 220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4306
Mailing Address - Country:US
Mailing Address - Phone:281-251-4234
Mailing Address - Fax:281-251-7868
Practice Address - Street 1:22485 TOMBALL PKWY
Practice Address - Street 2:STE 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1551
Practice Address - Country:US
Practice Address - Phone:281-251-4234
Practice Address - Fax:281-251-7868
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2019-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0956207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB137871Medicare PIN