DR MARCO A. VARGAS, PA
Podiatry at Grand Pkwy, Sugar Land, TX

License number
Texas 1504
Category
Podiatry
Type
Podiatrist
Owner
Name: STACY MARTIN
Title: CREDENTIALING MANAGER
Phone: (973) 946-6857
Address
Address
17510 W Grand Pkwy S SUITE 530, Sugar Land, TX 77479
National Provider ID: 1841673506
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. MARCO A. VARGAS, PA

17510 W Grand Pkwy S SUITE 530, Sugar Land, TX 77479

Status:
Inactive
Industry:
Podiatry Office
Doing business as:
Dr. Marco A. Vargas of Texas, PA<br>Dr. Marco A. Vargas P.A. of Texas<br>Dr. Marco A. Vargas, PA
Inactive reason:
Reinstatement
Registration:
Jun 29, 1999
Inactive since:
Oct 24, 2011
State ID:
P99000058831
Business type:
Florida Profit Corporation
Entity State:
FL
President, Director , Member, President , Treasurer , Member , Secretary:
Marco Vargas President, Director , Member, President , Treasurer , Member , Secretary, inactive, 17510 W Grand Pkwy S SUITE 530, Sugar Land, TX 77479 (Physical)
EIN:
65-0930853

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