Individual
PROF. SIXTO VARGAS VIII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO, LO, BOCO
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
Update your record
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