Organization
JUST 4 KIDS PEDIATRICS LLP
Active
Organization
JUST 4 KIDS PEDIATRICS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAINY BENNY VARGHESE PHD,RN,CPNP (DIRECTOR/PROVIDER)
(281) 261-5800
Entity
Organization
Contact information
Practice address
2503 S MAIN ST, SUITE C, STAFFORD, TX 77477-5544
(281) 261-5800
(281) 261-5885
Mailing address
2503 S MAIN ST, SUITE C, STAFFORD, TX 77477-5544
(281) 261-5800
(281) 261-5885
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
603668
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210617101
—
TX
01
—
537132
STATE LICENCE
TX
01
—
603668
STATE LICENSE
TX
Enumeration date
06/11/2013
Last updated
12/16/2022
Update your record
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