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NPI Code Detail

MEDICARE: ANDREA ABIGUEL VARGAS

MEDICARE:   ANDREA ABIGUEL VARGAS
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
1235Z00000XSpeech-Language Pathologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174249395
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA ABIGUEL VARGAS
Provider Business Mailing Address
First Line : 3033 MERRELL RD
Second Line :
City : DALLAS
State : TX
Zip : 75229-4973
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3033 MERRELL RD
Second Line :
City : DALLAS
State : TX
Zip : 75229-4973
Country : US
Telephone Number : 972-794-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2022
Last Update Date : 10/19/2022

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Directions to “ ANDREA ABIGUEL VARGAS ” Practice Location

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