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Organization

BARIATRIC EVALUATIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TOBY MATHEW VARGHESE (OWNER)
(855) 957-3825
Entity
Organization

Contact information

Practice address
1713 STATION PL, CARROLLTON, TX 75007-5014
(855) 957-3825
Mailing address
1713 STATION PL, CARROLLTON, TX 75007-5014
(855) 957-3825

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
21828
TX
133V00000X
Registered Dietitian
251S00000X
Community/Behavioral Health Agency
Primary
TX

Other

Enumeration date
11/27/2013
Last updated
05/12/2014
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