Provider Demographics
NPI:1386879500
Name:MENDEZ VARGAS, KARINA (MD)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:MENDEZ VARGAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6287 FRANKLIN LAIR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-6051
Mailing Address - Country:US
Mailing Address - Phone:787-423-7883
Mailing Address - Fax:
Practice Address - Street 1:3270 JOE BATTLE BLVD
Practice Address - Street 2:SUITE 195
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-2639
Practice Address - Country:US
Practice Address - Phone:915-206-2141
Practice Address - Fax:915-771-6496
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ79292084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology