Provider Demographics
NPI:1366172959
Name:VARGAS, BEATRIZ ADRIANA
Entity type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:ADRIANA
Last Name:VARGAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7427 LOS VECINOS DR
Mailing Address - Street 2:
Mailing Address - City:CANUTILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79835-8819
Mailing Address - Country:US
Mailing Address - Phone:915-710-8406
Mailing Address - Fax:
Practice Address - Street 1:7427 LOS VECINOS DR
Practice Address - Street 2:
Practice Address - City:CANUTILLO
Practice Address - State:TX
Practice Address - Zip Code:79835-8819
Practice Address - Country:US
Practice Address - Phone:915-710-8406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty