Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 0055778 | CO |
Y | 111NI0900X | Internist | 0055778 | CO |
N | 207R00000X | Internist | 17,142 | PR |
N | 111NI0900X | Internist | 17,142 | PR |
N | 207R00000X | Internist | P4353 | TX |
N | 111NI0900X | Internist | P4353 | TX |
N | 207RG0300X | Geriatric Medicine | 55778 | CO |
NPI | 1043485212 |
---|---|
Provider Name | Dr. Cathia Mendez-Vargas |
First Address | Austin, TX 78752-3930 |
Second Address | Austin, TX 78752-3930 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 05/08/2019 |