Healthcare Provider Details

I. General information

NPI: 1669845319
Provider Name (Legal Business Name): RACHEAL VARGHESE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2015
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 HOSPITAL BLVD
GAINESVILLE TX
76240-2007
US

IV. Provider business mailing address

1900 HOSPITAL BLVD
GAINESVILLE TX
76240-2002
US

V. Phone/Fax

Practice location:
  • Phone: 940-612-8750
  • Fax: 940-665-3048
Mailing address:
  • Phone: 940-612-8750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP128662
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: