MEDICARE: DR. EDUARDO VARGAS CRUZ M.D.

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	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician	MD13794	TN

General Provider Information

NPI Number	:	1477671238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDUARDO VARGAS CRUZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 342345
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38184-2345
Country	:	US
Telephone Number	:	901-373-4311
Fax Number	:	901-373-4262

Provider Business Practice Location Address
First Line	:	1138 N GERMANTOWN PKWY # 101-377
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-5872
Country	:	US
Telephone Number	:	901-373-4311
Fax Number	:	901-328-1888

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	01/27/2026

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