Provider Demographics
NPI:1033395736
Name:DR MARCO A VARGAS PA
Entity Type:Organization
Organization Name:DR MARCO A VARGAS PA
Other - Org Name:FOOT & ANKLE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:A
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:281-313-0090
Mailing Address - Street 1:15200 SOUTHWEST FWY STE 130
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3863
Mailing Address - Country:US
Mailing Address - Phone:281-313-0090
Mailing Address - Fax:281-232-7918
Practice Address - Street 1:15200 SOUTHWEST FWY STE 130
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:281-313-0090
Practice Address - Fax:866-912-7672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1267745225100000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7381103OtherAETNA
TX009EXOtherBCBS
TX00919EMedicare UPIN
TX7381103OtherAETNA