Individual
MINI VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-3597
(214) 645-6757
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-3597
(214) 645-6757
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
598751
TX
Other
Enumeration date
11/27/2013
Last updated
09/03/2014
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