MEDICARE: JOSEPH VARON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	J5933	TX
2	207RP1001X	Pulmonary Disease Physician	J5933	TX

General Provider Information

NPI Number	:	1215983895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH VARON MD

Provider Business Mailing Address
First Line	:	2219 DORRINGTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3209
Country	:	US
Telephone Number	:	713-669-1670
Fax Number	:	713-669-1671

Provider Business Practice Location Address
First Line	:	2219 DORRINGTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3209
Country	:	US
Telephone Number	:	713-669-1670
Fax Number	:	713-669-1671

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	05/10/2012

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