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1558516344
MICHAEL J DE LA VEGA
SAN ANTONIO, TX
NPI
1558516344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2008-11-21
Last Update Date
2023-10-24
Business Address
MICHAEL J DE LA VEGA PA-C
2241 NW MILITARY HWY STE 200
SAN ANTONIO, TX 78213-4927
Phone number: 210-907-8346
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Mailing Address
MICHAEL J DE LA VEGA PA-C
1283 RODALYN DR
BOERNE, TX 78006-6122
Phone number: 910-551-8151
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