Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 10342T | TX |
NPI | 1013588409 |
---|---|
Provider Name | Dr. Rachel Varghese |
First Address | Rowlett, TX 75088-1817 |
Second Address | Garland, TX 75040-8717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2021 |
Last Update Date | 07/07/2021 |