MEDICARE: BLESSY VARUGHESE D.O.

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	390200000X	Student in an Organized Health Care Education/Training Program	663143	TX
2	207R00000X	Internal Medicine Physician	S5514	TX

General Provider Information

NPI Number	:	1467985234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BLESSY VARUGHESE D.O.

Provider Business Mailing Address
First Line	:	1140 BUSINESS CENTER DR STE 550
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-2742
Country	:	US
Telephone Number	:	713-984-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1140 BUSINESS CENTER DR STE 550
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-2742
Country	:	US
Telephone Number	:	713-984-8200
Fax Number	:

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

Provider Enumeration Date	:	04/07/2017
Last Update Date	:	04/30/2025

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