MEDICARE: PRAISE VARGHESE

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	363LP2300X	Primary Care Nurse Practitioner	1189848	TX

General Provider Information

NPI Number	:	1528915212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRAISE VARGHESE

Provider Business Mailing Address
First Line	:	1611 TANGLEWOOD DR
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75002-1888
Country	:	US
Telephone Number	:	206-504-9709
Fax Number	:

Provider Business Practice Location Address
First Line	:	1611 TANGLEWOOD DR
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75002-1888
Country	:	US
Telephone Number	:	206-504-9709
Fax Number	:

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

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “ PRAISE VARGHESE ” Practice Location

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