Individual
MR. MIGUEL VERGARA IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-2273
Mailing address
3216 TITANIC AVE, EL PASO, TX 79904-3023
(915) 238-6824
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
770304
TX
Other
Enumeration date
07/20/2022
Last updated
09/11/2025
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