Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | P4260 | TX |
N | 111NI0900X | Internist | P4260 | TX |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | P4260 | TX |
NPI | 1770710543 |
---|---|
Provider Name | Cyril Varughese |
First Address | Fort Worth, TX 76104-3915 |
Second Address | Fort Worth, TX 76104-3915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2009 |
Last Update Date | 18/10/2021 |