Provider Demographics
NPI:1184116675
Name:VARGAS, OSMIN NATIVIDAD (FNP-BC)
Entity type:Individual
Prefix:MR
First Name:OSMIN
Middle Name:NATIVIDAD
Last Name:VARGAS
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6754
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-6754
Mailing Address - Country:US
Mailing Address - Phone:956-588-9112
Mailing Address - Fax:
Practice Address - Street 1:2521 E GRIFFIN PKWY STE A
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3313
Practice Address - Country:US
Practice Address - Phone:956-591-0760
Practice Address - Fax:956-591-0757
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-31
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138453363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care