Individual
CHARLES J VAGROSKY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDMS RDCS RVT RT
Contact information
Practice address
1215 S COULTER ST STE 100, AMARILLO, TX 79106-1761
(806) 670-0941
Mailing address
8004 PILGRIM DR, AMARILLO, TX 79119-6439
(806) 670-0942
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
162283
TX
2085U0001X
Diagnostic Ultrasound Physician
8261
TX
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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