MEDICARE: STEPHANIE MARIE VEGA-MOLINA

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
1	103TC0700X	Clinical Psychologist	39275	TX

General Provider Information

NPI Number	:	1912661661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MARIE VEGA-MOLINA

Provider Business Mailing Address
First Line	:	3600 GASTON AVE STE 404
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1804
Country	:	US
Telephone Number	:	214-820-5516
Fax Number	:	214-820-5518

Provider Business Practice Location Address
First Line	:	3600 GASTON AVE STE 404
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1804
Country	:	US
Telephone Number	:	214-820-5516
Fax Number	:	214-820-5528

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2021
Last Update Date	:	10/23/2022

Similar Medicare Providers

1871598466 — HEALTHTEXAS PROVIDER NETWORK - CARDIO-THORACIC SERVICES LLP
Practice Location Address:

3600 GASTON AVE , STE 404
DALLAS, TX
75246-1804

Practice Phone: 214-827-3890
Practice Fax: 214-823-9310

1568469484 — PAUL GORDON PIN
Practice Location Address:

3600 GASTON AVE , STE 410
DALLAS, TX
75246-1804

Practice Phone: 214-827-2530
Practice Fax: 214-826-6754

1619939626 — MELANIE MOORE BIGGS PH.D.
Practice Location Address:

BAYLOR SCOTT & WHITE MEDICAL PSYCHOLOGY CONSULTANTS , 3600 GASTON AVENUE, BARNETT TOWER - SUITE 404
DALLAS, TX
75246-1804

Practice Phone: 214-820-5516
Practice Fax: 214-820-5518

1790906337 — DR. PETER ALEXANDER ALIVIZATOS MD
Practice Location Address:

3600 GASTON AVENUE , 404 BARNETT TOWER
DALLAS, TX
75246-1804

Practice Phone: 214-824-6718
Practice Fax: 214-821-3760

1851562649 — DALLAS FOOT AND ANKLE SPECIALISTS,PA
Practice Location Address:

3600 GASTON AVE STE 402
DALLAS, TX
75246-1804

Practice Phone: 214-832-4710
Practice Fax:

1306254214 — MS. CARRIE RUSS ANP
Practice Location Address:

3600 GASTON AVE STE 404
DALLAS, TX
75246-1804

Practice Phone: 694-820-5516
Practice Fax:

Directions to “ STEPHANIE MARIE VEGA-MOLINA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.