MEDICARE: LESLIE VARGAS APRN-CPNP-PC

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	363LP0200X	Pediatric Nurse Practitioner	1231322	TX

General Provider Information

NPI Number	:	1215879036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE VARGAS APRN-CPNP-PC

Provider Business Mailing Address
First Line	:	13668 MILL HILL CT
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79928-2292
Country	:	US
Telephone Number	:	915-253-9028
Fax Number	:

Provider Business Practice Location Address
First Line	:	1473 N LEE TREVINO DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-5919
Country	:	US
Telephone Number	:	915-280-9267
Fax Number	:

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

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “ LESLIE VARGAS APRN-CPNP-PC” Practice Location

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