Provider Demographics
NPI:1932234705
Name:VARGO, DENISE (DC)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:VARGO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2723 MANVEL RD
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7537
Mailing Address - Country:US
Mailing Address - Phone:281-997-1333
Mailing Address - Fax:281-997-1335
Practice Address - Street 1:2723 MANVEL RD
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7537
Practice Address - Country:US
Practice Address - Phone:281-997-1333
Practice Address - Fax:281-997-1335
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9773111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G0771OtherBLUECROSS BLUESHIELD ID
TX611810Medicare ID - Type UnspecifiedMEDICARE
TXV05300Medicare UPIN