MEDICARE: MARIAM V 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1071546	TX

General Provider Information

NPI Number	:	1548190309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAM V VARGHESE

Provider Business Mailing Address
First Line	:	208 OAK DR S STE 500
Second Line	:
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-5789
Country	:	US
Telephone Number	:	979-399-5121
Fax Number	:	979-399-5181

Provider Business Practice Location Address
First Line	:	208 OAK DR S STE 500
Second Line	:
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-5789
Country	:	US
Telephone Number	:	979-399-5121
Fax Number	:	979-399-5181

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

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

Similar Medicare Providers

1508077421 — STEVEN D. EGGLESTON, M.D., P.A.
Practice Location Address:

208 OAK DR S STE 602
LAKE JACKSON, TX
77566-5789

Practice Phone: 979-299-3100
Practice Fax: 979-266-9598

1487931028 — STARR PLUS PHARMACY, LLC.
Practice Location Address:

208 OAK DR S STE 601
LAKE JACKSON, TX
77566-5789

Practice Phone: 979-297-3800
Practice Fax: 979-297-3806

1225466253 — WILLIAM E BURNS JR M D, PLLC
Practice Location Address:

208 OAK DR S STE 502
LAKE JACKSON, TX
77566-5789

Practice Phone: 979-297-4507
Practice Fax: 979-480-9074

1730628116 — AJAY AGGARWAL
Practice Location Address:

208 OAK DR S STE 500
LAKE JACKSON, TX
77566-5789

Practice Phone: 979-245-7246
Practice Fax: 979-245-2415

1316459704 — MRS. SAMANTHA B MCCAREY NP
Practice Location Address:

208 OAK DR S STE 502
LAKE JACKSON, TX
77566-5789

Practice Phone: 979-297-4507
Practice Fax: 979-480-9074

1952987141 — EMILY MCINTIRE
Practice Location Address:

208 OAK DR S STE 502
LAKE JACKSON, TX
77566-5789

Practice Phone: 979-297-4507
Practice Fax: 979-480-9074

Directions to “ MARIAM V VARGHESE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.