MEDICARE: KRISTIN VARACALLI D.O., M.P.H

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	208100000X	Physical Medicine & Rehabilitation Physician	OS015736	PA
2	208100000X	Physical Medicine & Rehabilitation Physician	S2189	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	403841601	OTHER	TX	TPI

General Provider Information

NPI Number	:	1548404080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN VARACALLI D.O., M.P.H

Provider Business Mailing Address
First Line	:	1133 JOHN FREEMAN BLVD # 285J
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2809
Country	:	US
Telephone Number	:	713-500-5874
Fax Number	:	743-500-0590

Provider Business Practice Location Address
First Line	:	1133 JOHN FREEMAN BLVD # 285A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2809
Country	:	US
Telephone Number	:	713-500-5874
Fax Number	:	743-500-0590

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

Provider Enumeration Date	:	04/28/2009
Last Update Date	:	05/12/2025

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