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NPI Code Detail

MEDICARE: MRS. SUE ANN HOLLAND-VARGAS

MEDICARE:  MRS. SUE ANN HOLLAND-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
1231H00000XAudiologist50174TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
250174OTHERTXCOMMERCIALS

General Provider Information

NPI Number : 1578561239
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUE ANN HOLLAND-VARGAS
Provider Business Mailing Address
First Line : 4601 HARTFORD ST
Second Line :
City : ABILENE
State : TX
Zip : 79605-4603
Country : US
Telephone Number : 257-933-4003
Fax Number : 253-793-3587
Provider Business Practice Location Address
First Line : 4601 HARTFORD ST
Second Line :
City : ABILENE
State : TX
Zip : 79605-4603
Country : US
Telephone Number : 257-933-4003
Fax Number : 257-933-5873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 11/13/2023

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Directions to “ MRS. SUE ANN HOLLAND-VARGAS ” Practice Location

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