MEDICARE: DR. MARCO A VARGAS DPM

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
1	213EP1101X	Primary Podiatric Medicine Podiatrist	1504	TX
2	213ES0103X	Foot & Ankle Surgery Podiatrist	BV6387890	TX

General Provider Information

NPI Number	:	1760582647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCO A VARGAS DPM

Provider Business Mailing Address
First Line	:	17510 W GRAND PARKWAY SOUTH
Second Line	:	SUITE 530 - APPOINTMENTS ONLY
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3244
Country	:	US
Telephone Number	:	281-313-0090
Fax Number	:	866-912-7672

Provider Business Practice Location Address
First Line	:	17510 W GRAND PARKWAY SOUTH -APPOINTMENTS ONLY-
Second Line	:	SUITE 530
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3244
Country	:	US
Telephone Number	:	281-342-8700
Fax Number	:	281-232-7918

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	08/27/2014

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Directions to “ DR. MARCO A VARGAS DPM” Practice Location

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