# GINA VARGAS, M.D. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609457779
- **Authorized official:** DR. GINA VARGAS MD (PHYSICIAN)
- **Authorized official phone:** (479) 322-8272

## Contact information

- **Practice address:** 4300 ROGERS AVE, FORT SMITH, AR 72903-3143
- **Practice address phone:** (479) 322-8272
- **Mailing address:** 2916 KELLS ABBEY, FORT SMITH, AR 72908-9317
- **Mailing address phone:** (479) 322-8272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/19/2021
- **Last updated:** 08/13/2021
