Provider Demographics
NPI:1730659418
Name:VARIOHEALTH, PLLC
Entity Type:Organization
Organization Name:VARIOHEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:BULLARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-355-8000
Mailing Address - Street 1:9456 STATE HIGHWAY 121
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6067
Mailing Address - Country:US
Mailing Address - Phone:972-942-0100
Mailing Address - Fax:972-942-0440
Practice Address - Street 1:9456 STATE HIGHWAY 121
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6067
Practice Address - Country:US
Practice Address - Phone:972-942-0100
Practice Address - Fax:972-942-0440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-26
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care