Individual
SUSAN VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., ANP
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP113138
TX
363LA2200X
Adult Health Nurse Practitioner
699829
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199353701
—
TX
01
—
8N8299
BCBS
TX
01
—
P00317089
RR MEDICARE
TX
Enumeration date
12/01/2006
Last updated
03/08/2023
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