=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427968601
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VAERION SYSTEMS, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2026
-----------------------------------------------------
Last Update Date | 09/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5454 SURREY PATH
-----------------------------------------------------
City | FRISCO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75034-9581
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-287-8059
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1908 BORDEAUX CT
-----------------------------------------------------
City | ALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75002-2672
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-287-8059
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | CHRISTOPHER WASSARMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 860-617-6600
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 302R00000X
-----------------------------------------------------
Taxonomy Name | Health Maintenance Organization
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------