MEDICARE: ANEETA VARUGHESE

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	39137	TX

General Provider Information

NPI Number	:	1265062129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANEETA VARUGHESE

Provider Business Mailing Address
First Line	:	14710 WOODFOREST BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-3230
Country	:	US
Telephone Number	:	713-453-8446
Fax Number	:

Provider Business Practice Location Address
First Line	:	14710 WOODFOREST BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-3230
Country	:	US
Telephone Number	:	713-453-8446
Fax Number	:	713-451-8651

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

Provider Enumeration Date	:	01/20/2020
Last Update Date	:	01/20/2020

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Directions to “ ANEETA VARUGHESE ” Practice Location

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