Individual
JESSICA VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6400 FANNIN ST STE 1700, HOUSTON, TX 77030-1526
(713) 486-7500
Mailing address
6400 FANNIN ST STE 1700, HOUSTON, TX 77030-1526
(713) 486-7500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
PA09767
TX
363AS0400X
Surgical Physician Assistant
Primary
PA09767
TX
Other
Enumeration date
05/14/2015
Last updated
06/14/2023
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