Individual
JEENA M VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-3722
(713) 792-2841
(713) 794-4065
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
N7977
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288856203
—
TX
01
—
288856204
CSHCN MEDICAID TPI
TX
Enumeration date
12/05/2011
Last updated
11/05/2020
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