Provider Demographics
NPI:1790996965
Name:VARESIC, ANDREA ENEA (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:ENEA
Last Name:VARESIC
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14607 JUNIPER FOREST LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-2313
Mailing Address - Country:US
Mailing Address - Phone:281-286-7080
Mailing Address - Fax:
Practice Address - Street 1:1200 S COL ROWE BLVD
Practice Address - Street 2:STE.B-6
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2956
Practice Address - Country:US
Practice Address - Phone:956-630-0562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX178121223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics