Individual
DR. KOSHY K VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7800 SHOAL CREEK BLVD STE 130W, AUSTIN, TX 78757-1040
(512) 407-8880
Mailing address
645 COUNTY ROAD 262, GEORGETOWN, TX 78628-1970
(512) 508-2711
(512) 869-8648
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
K6732
TX
207R00000X
Internal Medicine Physician
K6732
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
K6732
TX
Other
Enumeration date
10/27/2005
Last updated
03/25/2020
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