Individual
EDUARDO A VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4302 FIRST VIEW DR, SAN ANTONIO, TX 78217-3634
(210) 837-7735
Mailing address
4302 FIRST VIEW DR, SAN ANTONIO, TX 78217-3634
(210) 837-7735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61336
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381315601
—
TX
01
—
76-0464214
TAX ID
TX
Enumeration date
12/21/2017
Last updated
09/14/2022
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