Provider Demographics
NPI:1326267493
Name:DONALD VARGAS MD PA
Entity Type:Organization
Organization Name:DONALD VARGAS MD PA
Other - Org Name:VALLEY ORTHOPEDIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-412-7272
Mailing Address - Street 1:1901 PEASE ST
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8217
Mailing Address - Country:US
Mailing Address - Phone:956-412-7272
Mailing Address - Fax:956-412-7878
Practice Address - Street 1:1901 PEASE ST
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8217
Practice Address - Country:US
Practice Address - Phone:956-412-7272
Practice Address - Fax:956-412-7878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4630174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00755NOtherBLUE CROSS BLUE SHIELD
TX176583500OtherUS DEPARTMENT OF LABOR
TX081105101Medicaid
TX081105101Medicaid
TX00755NMedicare PIN
TX0396820001Medicare NSC