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NPI Code Detail

MEDICARE: REEBA SAJI VARUGHESE DDS

MEDICARE: REEBA SAJI VARUGHESE DDS
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
11223G0001XGeneral Practice Dentistry20768TX

General Provider Information

NPI Number : 1598828451
Entity Type Code : Individual
Provider Name (Legal Business Name) : REEBA SAJI VARUGHESE DDS
Provider Business Mailing Address
First Line : 11104 ALISON PARK TRL
Second Line :
City : AUSTIN
State : TX
Zip : 78750-1504
Country : US
Telephone Number : 512-832-8448
Fax Number : 512-832-8454
Provider Business Practice Location Address
First Line : 8522 N LAMAR BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78753-5543
Country : US
Telephone Number : 512-832-8448
Fax Number : 512-832-6225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 07/09/2007

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Directions to “ REEBA SAJI VARUGHESE DDS” Practice Location

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