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NPI Code Detail

MEDICARE: MARIAH M VEGA

MEDICARE:   MARIAH M VEGA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianTX

General Provider Information

NPI Number : 1740128511
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAH M VEGA
Provider Business Mailing Address
First Line : 624 FOUNTAIN DR
Second Line :
City : LA PORTE
State : TX
Zip : 77571-6709
Country : US
Telephone Number : 832-235-0085
Fax Number :
Provider Business Practice Location Address
First Line : 708 MAIN ST FL 10
Second Line :
City : HOUSTON
State : TX
Zip : 77002-3246
Country : US
Telephone Number : 877-418-2978
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/31/2026

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Directions to “ MARIAH M VEGA ” Practice Location

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