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NPI Code Detail

MEDICARE: VARITEX

MEDICARE: VARITEX
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
1207Q00000XFamily Medicine PhysicianTX

General Provider Information

NPI Number : 1184816225
Entity Type Code : Organization
Provider Name (Legal Business Name) : VARITEX
Provider Business Mailing Address
First Line : 2338 S BUCKNER BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75227-8605
Country : US
Telephone Number : 214-381-0266
Fax Number : 214-381-2719
Provider Business Practice Location Address
First Line : 2338 S BUCKNER BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75227-8605
Country : US
Telephone Number : 214-381-0266
Fax Number : 214-381-2719
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : SERGE M POMPHILE
Credential : MD
Telephone Number : 214-381-0266
Provider Enumeration Date : 08/13/2007
Last Update Date : 08/13/2007

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Directions to “VARITEX ” Practice Location

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