Individual
MARYAM VARASTEH-KASHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
200 MEDICAL PKWY STE 370, LAKEWAY, TX 78738-1798
(512) 445-5998
(512) 443-4388
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP126617
TX
Other
Enumeration date
12/04/2014
Last updated
12/28/2021
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