Provider Demographics
NPI:1023449725
Name:VARUGHESE, BINCY (FNP)
Entity type:Individual
Prefix:MRS
First Name:BINCY
Middle Name:
Last Name:VARUGHESE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1947 CUTLER DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-8401
Mailing Address - Country:US
Mailing Address - Phone:214-606-5988
Mailing Address - Fax:
Practice Address - Street 1:1947 CUTLER DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-8401
Practice Address - Country:US
Practice Address - Phone:214-606-5988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-05
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP124319363LF0000X
TX757924363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily