Healthcare Provider Details

I. General information

NPI: 1265371090
Provider Name (Legal Business Name): VAROS VICTER MANUKYAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16655 SOUTHWEST FWY
SUGAR LAND TX
77479-2329
US

IV. Provider business mailing address

3546 EASTCLIFF DR
SALT LAKE CITY UT
84124-3804
US

V. Phone/Fax

Practice location:
  • Phone: 281-274-7000
  • Fax:
Mailing address:
  • Phone: 801-201-4881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: