MEDICARE: HEATHER ALLEN-VARGAS LAC

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	171100000X	Acupuncturist	TEMPORARY	TX

General Provider Information

NPI Number	:	1992393177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER ALLEN-VARGAS LAC

Provider Business Mailing Address
First Line	:	3357 SAINT CLOUD CIR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229
Country	:	US
Telephone Number	:	801-400-2451
Fax Number	:

Provider Business Practice Location Address
First Line	:	3357 SAINT CLOUD CIR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229
Country	:	US
Telephone Number	:	801-400-2451
Fax Number	:

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

Provider Enumeration Date	:	01/04/2021
Last Update Date	:	01/04/2021

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Directions to “ HEATHER ALLEN-VARGAS LAC” Practice Location

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