Tara L. Wegryn, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

J1425 Issued in TX

Practice address

6400 Fannin St
Suite 2295
Houston, TX 77030-1521

Phone

(713) 791-9778

Fax

(713) 791-9401

NPI assigned

Oct 20, 2006

Last updated

Nov 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tara L Wegryn MD PA

  • Specialist
  • Houston, TX
  • NPI 1033361936
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1144302845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 BISSONNET ST # 202",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014007",
            "telephone_number": "713-791-9778",
            "fax_number": "713-791-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST",
            "address_2": "SUITE 2295",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301521",
            "telephone_number": "713-791-9778",
            "fax_number": "713-791-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGRYN",
        "first_name": "TARA",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J1425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126610804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S. Wefel, PH.D
• Christopher T Wegley, DMD
• Ronda Wegman, LPC
• Diana Wegner, NP-C
• Robert Wegner, M.D.
• Mackenzie Wehner, M.D.
• Xander Wehrens, MD, PHD
• Wei Shen DDS PA (Image Dental)
• Andy Wei, M.D.
• Christine Wei, MD

• Neurology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.