MEDICARE: DR. BETHANY G VARGAS DO

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	208000000X	Pediatrics Physician	T1872	TX
2	208000000X	Pediatrics Physician	DO-06378	IA

General Provider Information

NPI Number	:	1194210518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETHANY G VARGAS DO

Provider Business Mailing Address
First Line	:	5920 SARATOGA BLVD STE 340
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-4119
Country	:	US
Telephone Number	:	361-985-2111
Fax Number	:	361-985-2422

Provider Business Practice Location Address
First Line	:	5920 SARATOGA BLVD STE 340
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-4119
Country	:	US
Telephone Number	:	361-985-2111
Fax Number	:	361-985-2422

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

Provider Enumeration Date	:	06/27/2018
Last Update Date	:	05/22/2026

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