Individual
INDRA MOON VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
3280 MITCHELL BLVD BLDG 900, MOODY AFB, GA 31699-2607
(210) 884-4625
Mailing address
3278 MITCHELL BLVD BLDG 900, MOODY AFB, GA 31699-1500
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
10/24/2025
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