Healthcare Provider Details

I. General information

NPI: 1073775813
Provider Name (Legal Business Name): ALBERTO VARGAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 FLOYD CURL DR
SAN ANTONIO TX
78229-3902
US

IV. Provider business mailing address

PO BOX 2776
SAN ANTONIO TX
78299-2776
US

V. Phone/Fax

Practice location:
  • Phone: 210-202-0304
  • Fax: 210-575-6059
Mailing address:
  • Phone: 210-202-0304
  • Fax: 210-558-6289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberP1426
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberP1426
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: