Provider Demographics
NPI:1639141963
Name:VARIN, CARMEN RICHARD (MD)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:RICHARD
Last Name:VARIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 ELIZABETH ST STE 809
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2232
Mailing Address - Country:US
Mailing Address - Phone:361-883-3831
Mailing Address - Fax:361-887-0146
Practice Address - Street 1:613 ELIZABETH ST STE 809
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2232
Practice Address - Country:US
Practice Address - Phone:361-883-3831
Practice Address - Fax:361-887-0146
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9395208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101550502Medicaid
TXF77690Medicare UPIN
TX80W661Medicare PIN
TX280000484Medicare PIN