MEDICARE: LIXANA VEGA VEGA MD

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	208600000X	Surgery Physician	P0511	TX

General Provider Information

NPI Number	:	1790963775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIXANA VEGA VEGA MD

Provider Business Mailing Address
First Line	:	950 THREADNEEDLE ST
Second Line	:	SUITE 140
City	:	HOUSTON
State	:	TX
Zip	:	77079-2925
Country	:	US
Telephone Number	:	832-699-8342
Fax Number	:	888-974-1574

Provider Business Practice Location Address
First Line	:	950 THREADNEEDLE ST
Second Line	:	SUITE 140
City	:	HOUSTON
State	:	TX
Zip	:	77079-2925
Country	:	US
Telephone Number	:	832-699-8342
Fax Number	:	888-974-1574

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

Provider Enumeration Date	:	02/01/2008
Last Update Date	:	04/22/2026

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Directions to “ LIXANA VEGA VEGA MD” Practice Location

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