MEDICARE: JODANA M VARILEK

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	1041C0700X	Clinical Social Worker	60474	TX

General Provider Information

NPI Number	:	1144605825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODANA M VARILEK

Provider Business Mailing Address
First Line	:	2605 DUNBAR DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75072-9131
Country	:	US
Telephone Number	:	469-414-5800
Fax Number	:

Provider Business Practice Location Address
First Line	:	6861 ELDORADO PKWY
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-5637
Country	:	US
Telephone Number	:	469-414-5800
Fax Number	:

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

Provider Enumeration Date	:	07/23/2015
Last Update Date	:	07/25/2023

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Directions to “ JODANA M VARILEK ” Practice Location

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