Provider Demographics
NPI:1518456151
Name:VARGHESE, BINDU ELSY
Entity Type:Individual
Prefix:
First Name:BINDU
Middle Name:ELSY
Last Name:VARGHESE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 ORCHARD ST
Mailing Address - Street 2:STE 200
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4146
Mailing Address - Country:US
Mailing Address - Phone:281-557-8555
Mailing Address - Fax:
Practice Address - Street 1:37 RIMINA WAY DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5203
Practice Address - Country:US
Practice Address - Phone:586-381-3562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137148363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care