Individual
MR. MIGUEL ANGEL VARGAS-LAGUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2465 REYNOLDS AVE STE 101, NORTH LAS VEGAS, NV 89030-7296
(702) 476-9600
(702) 476-8972
Mailing address
2465 REYNOLDS AVE STE 101, NORTH LAS VEGAS, NV 89030-7296
(702) 476-9600
(702) 476-8972
Taxonomy
Speciality
Code
Description
License number
State
193400000X
Single Specialty Group
12464
NV
207R00000X
Internal Medicine Physician
Primary
12464
NV
261QU0200X
Urgent Care Clinic/Center
12464
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356551873
—
NV
01
—
V108104
MEDICARE PTAN
NV
Enumeration date
05/23/2007
Last updated
03/22/2016
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