| Doctor Name: | DR. ISRAEL VEGA |
| NPI Number: | 1346563376 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.N.P., F.N.P., B.C. |
| License Number: | 669581 |
| Business Practice Address: | 2395 La Palma St Ste I San Benito, TX - 785863320 |
| Business Phone Number: | 9562764560 |
| Business Fax Number: | 9562764561 |
| Mailing Address: | 2395 La Palma St, Ste I SAN BENITO |
| State: | TX |
| Postal Code: | 785863320 |
| Phone Number: | 9562764560 |
| Fax Number: | 9562764561 |
| NPI Enumeration Date: | 03/04/2010 |
| NPI Last Update Date: | 12/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 669581 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |