Individual
MOBIN T VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3604 LIVE OAK ST STE 100, DALLAS, TX 75204-6169
(214) 358-2300
(214) 366-6331
Mailing address
1420 VICEROY DR, DALLAS, TX 75235-2208
(214) 358-2300
(214) 366-6331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1020382
TX
363LF0000X
Family Nurse Practitioner
1020382
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020382
TX LICENSE
TX
Enumeration date
03/25/2021
Last updated
02/24/2022
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