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NPI Code Detail

MEDICARE: VARGAS MD PC

MEDICARE: VARGAS MD 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
1261QU0200XUrgent Care Clinic/Center12464NV

General Provider Information

NPI Number : 1265818579
Entity Type Code : Organization
Provider Name (Legal Business Name) : VARGAS MD PC
Provider Business Mailing Address
First Line : 2828 E LAKE MEAD BLVD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-6550
Country : US
Telephone Number : 702-480-0377
Fax Number : 702-224-2104
Provider Business Practice Location Address
First Line : 2828 E LAKE MEAD BLVD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-6550
Country : US
Telephone Number : 702-480-0377
Fax Number : 702-224-2104
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : MIGUEL ANGEL VARGAS LAGUNAS
Credential : M.D., P.C.
Telephone Number : 702-218-1142
Provider Enumeration Date : 08/10/2015
Last Update Date : 08/14/2015

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Directions to “VARGAS MD PC ” Practice Location

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