Individual
MR. VARUGHESE MAX BABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
4314 YOAKUM BLVD, HOUSTON, TX 77006-5818
(713) 850-0049
(713) 850-0036
Mailing address
3430 HIDDEN CREEK DR, SUGAR LAND, TX 77479-1651
(516) 749-3845
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
781646
TX
390200000X
Student in an Organized Health Care Education/Training Program
525591
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215863601
—
TX
05
—
215863602
—
TX
05
—
215863603
—
TX
05
—
215863604
—
TX
05
—
215863605
—
TX
01
—
834N18
BCBS TX
TX
01
—
847N28
BCBS TX
TX
01
—
859N32
BCBS TX
TX
01
—
P00889009
RAIL ROAD MEDICARE
TX
01
—
P00967678
RAIL ROAD MCR DALLAS
TX
Enumeration date
09/29/2008
Last updated
07/02/2012
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