{"npi":"1497863187","type":"NPI-1","status":"active","name":{"display":"Dr. Laura De Moya Vega M.D.","other":[],"first":"LAURA","last":"DE MOYA VEGA","middle":"CATALINA","credential":"M.D."},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"208M00000X","description":"Hospitalist","primary":false,"state":"TX","license":"M4028"},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"TX","license":"M4028"}]},"addresses":[{"purpose":"LOCATION","street_1":"3500 GASTON AVE","city":"DALLAS","state":"TX","postal_code":"752462017","country_code":"US","street_2":"4 ROBERTS","phone":"2148203000","fax":"2148203022"},{"purpose":"MAILING","street_1":"3500 GASTON AVE","city":"DALLAS","state":"TX","postal_code":"752462017","country_code":"US","street_2":"4 ROBERTS","phone":"2148203000","fax":"2148203022"}],"license":{"state":"TX","number":"M4028"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"183953202","state":"TX","issuer":null},{"type_code":"05","label":"Medicaid","value":"183953201","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"8G0894","state":"TX","issuer":"BCBS"},{"type_code":"01","label":"Other","value":"8CZ844","state":"TX","issuer":"BCBSTX"},{"type_code":"05","label":"Medicaid","value":"183953203","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070129000288","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"TX","pac_id":"4385645795"}]},"enumeration_date":"2006-08-25","last_updated":"2023-05-02","_meta":{"source":"NPPES","snapshot_date":"2023-05-02","doc_url":"https://findmynpi.com/api"}}