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Mobin T Varghese
Nurse Practitioner in Dallas, Texas
NPI 1114504248

Mobin T Varghese is a Nurse Practitioner based in Dallas, TX. Mobin T Varghese practices in Dallas, TX. The NPI Number for Mobin T Varghese is 1114504248 and holds a License No. 1020382 (Texas).

The current practice location address for Mobin T Varghese is 3604 Live Oak St Ste 100, Dallas, TX and can be reached out via phone at 214-358-2300 and via fax at 214-366-6331.

Location: 3604 Live Oak St Ste 100, Dallas, TX, 75235-2208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114504248
Provider Name
Mobin T Varghese
Credential
Provider Entity Type
Individual
Gender
Male
Address
3604 Live Oak St Ste 100, Dallas, TX, 75235-2208
Phone Number
214-358-2300
Fax Number
214-366-6331
Provider Enumeration Date
03/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1020382 01 TX TX LICENSE
institution
Provider Business Practice Location Address Details
Address
3604 Live Oak St Ste 100
City
Dallas
State
Texas
Zip
75204-6169
Phone Number
214-358-2300
Fax Number
214-366-6331
person
Provider Business Mailing Address Details
Address
3604 Live Oak St Ste 100
City
Dallas
State
Texas
Zip
75204-6169
Phone Number
214-358-2300
Fax Number
214-366-6331
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1020382 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1020382 (Texas)
Definition
Definition to come...
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