MIGUEL VERGARA

FORT BLISS, TX
NPI1538894829
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
(Licence: TX  770304)
Enumeration Date2022-07-20
Last Update Date2022-07-22
Business Address
Mr. MIGUEL VERGARA
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906-5327
Phone number: 915-742-2273
Mailing Address
Mr. MIGUEL VERGARA
5428 SANTIAGO ROQUE DR
EL PASO, TX 79934-3181
Phone number: 915-238-6824