Provider Demographics
NPI:1154052991
Name:NEXT LEVEL PSYCHIATRIC CARE INC
Entity Type:Organization
Organization Name:NEXT LEVEL PSYCHIATRIC CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGHESE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:347-283-0927
Mailing Address - Street 1:5535 CARLISLE AVE
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2184
Mailing Address - Country:US
Mailing Address - Phone:346-500-5356
Mailing Address - Fax:813-725-5511
Practice Address - Street 1:7 W WAY CT STE E
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5253
Practice Address - Country:US
Practice Address - Phone:346-500-5356
Practice Address - Fax:813-725-5511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1346881463OtherNPI