MEDICARE: TORTUGA PEDIATRICS PLLC

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	261QP2300X	Primary Care Clinic/Center
2	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1962212159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TORTUGA PEDIATRICS PLLC

Provider Business Mailing Address
First Line	:	4101 S ALAMEDA ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-1528
Country	:	US
Telephone Number	:
Fax Number	:

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	:	541-212-3866
Fax Number	:

Authorized Official
Title or Position	:	PEDIATRICIAN/OWNER
Name	:	BETHANY VARGAS
Credential	:	DO
Telephone Number	:	541-212-3866

Provider Enumeration Date	:	01/09/2025
Last Update Date	:	03/26/2025

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