Healthcare Provider Details

I. General information

NPI: 1083014757
Provider Name (Legal Business Name): AXO AESTHETICS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2014
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5615 TWIN RIVERS CT
SUGAR LAND TX
77479-7133
US

IV. Provider business mailing address

5615 TWIN RIVERS CT
SUGAR LAND TX
77479-7133
US

V. Phone/Fax

Practice location:
  • Phone: 713-254-2747
  • Fax:
Mailing address:
  • Phone: 713-254-2747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KAROLY VARGA
Title or Position: OWNER/PRESIDENT
Credential: MD, PHD
Phone: 713-254-2747