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Individual
MR. VARUGHESE MAX BABY
Active
Individual
MR. VARUGHESE MAX BABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
781646
TX
390200000X
Student in an Organized Health Care Education/Training Program
525591
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215863601
—
TX
05
—
215863602
—
TX
05
—
215863603
—
TX
05
—
215863604
—
TX
05
—
215863605
—
TX
01
—
834N18
BCBS TX
TX
01
—
847N28
BCBS TX
TX
01
—
859N32
BCBS TX
TX
01
—
P00889009
RAIL ROAD MEDICARE
TX
01
—
P00967678
RAIL ROAD MCR DALLAS
TX
Enumeration date
09/29/2008
Last updated
07/02/2012
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