Most Relevant Information
Provider Data
| NPI Number: | 1003827635 |
| Provider Name: | AMANDA VARGAS B.A., SLP-A |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | 32789 |
Most Important Dates
| Enumeration Date: | 08/10/2006 |
| Last Updated: | 02/29/2012 |
Provider Practice Location
1145 ROSS ST
STES. K & L
SAN BENITO
TX
785864421
Practice Location Phone/Fax
| Phone: | 9563994100 |
| Fax: | 9563994107 |
Provider Mailing Location
PO BOX 683
COMBES
TX
785350683
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |