Individual provider · Type 1 NPI

Mobin T. Varghese

Nurse Practitioner · Dallas, TX

NPI number 1114504248 Active

Practice location

3604 Live Oak St Ste 100
Dallas, TX 75204-6169

Call (214) 358-2300 Map

Fax (214) 366-6331

Mailing address

1420 Viceroy Dr
Dallas, TX 75235-2208

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X1020382 (TX)
Nurse Practitioner Primary 363L00000X1020382 (TX)

Nurse Practitioner: (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 wit…

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About NPI 1114504248

Mobin T. Varghese's National Provider Identifier is 1114504248, issued on Mar 25, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dallas, TX. The record was last updated on Feb 24, 2022.