Organization
RESTORE AESTHETICS, PLLC
Active
Other names
Restore Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
LINCE VARUGHESE MD (OWNER)
(469) 242-0522
Entity
Organization
Contact information
Practice address
6520 ALLIANCE DR UNIT 110, ROCKWALL, TX 75032-0056
(469) 242-0522
Mailing address
6520 ALLIANCE DR UNIT 110, ROCKWALL, TX 75032-0056
(469) 242-0522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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