Provider Demographics
NPI:1407302490
Name:VARGAS, HUGO A JR (MS)
Entity Type:Individual
Prefix:MR
First Name:HUGO
Middle Name:A
Last Name:VARGAS
Suffix:JR
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6515 TANFIELD CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-4857
Mailing Address - Country:US
Mailing Address - Phone:715-393-7785
Mailing Address - Fax:
Practice Address - Street 1:6515 TANFIELD CT
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-4857
Practice Address - Country:US
Practice Address - Phone:715-393-7785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health