Individual
PROF. SIXTO VARGAS VIII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO, LO, BOCO
Contact information
Practice address
5718 MCARDLE RD, CORPUS CHRISTI, TX 78412-3455
(361) 852-0614
(361) 852-0046
Mailing address
PO BOX 6942, CORPUS CHRISTI, TX 78466-6942
(361) 852-0614
(361) 852-0046
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
470
TX
332B00000X
Durable Medical Equipment & Medical Supplies
470
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
531013
BCBS OF TEXAS
TX
Enumeration date
07/27/2006
Last updated
02/05/2008
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