Provider Demographics
NPI:1336290840
Name:VARVEL, LEWIS FRANK (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:FRANK
Last Name:VARVEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 HACKBERRY ST
Mailing Address - Street 2:
Mailing Address - City:HEARNE
Mailing Address - State:TX
Mailing Address - Zip Code:77859-3074
Mailing Address - Country:US
Mailing Address - Phone:979-279-3312
Mailing Address - Fax:979-280-5638
Practice Address - Street 1:1004 HACKBERRY ST
Practice Address - Street 2:
Practice Address - City:HEARNE
Practice Address - State:TX
Practice Address - Zip Code:77859-3074
Practice Address - Country:US
Practice Address - Phone:979-279-3312
Practice Address - Fax:979-280-5638
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice