Individual
JUAN VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
714 WALNUT ST, LAKE JACKSON, TX 77566-6029
(979) 665-5947
Mailing address
714 WALNUT ST, LAKE JACKSON, TX 77566-6029
(979) 665-5947
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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