Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 22612 | TX |
N | 122300000X | Dentist | 5944 | LA |
NPI | 1003827619 |
---|---|
Provider Name | Dr. Seema Marie Varghese |
First Address | Houston, TX 77266-6308 |
Second Address | Houston, TX 77006-2602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 25/08/2021 |