Healthcare Provider Details
I. General information
NPI: 1972534915
Provider Name (Legal Business Name): DEV. K. VARSHNEY, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2006
Last Update Date: 12/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 S 5TH ST
CARRIZO SPRINGS TX
78834-3802
US
IV. Provider business mailing address
PO BOX 100
CARRIZO SPRINGS TX
78834-6100
US
V. Phone/Fax
- Phone: 830-876-3511
- Fax: 830-876-9434
- Phone: 830-876-3511
- Fax: 830-876-9434
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEVENDRA
VARSHNEY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 830-876-3511