Provider Demographics
NPI:1972534915
Name:DEV. K. VARSHNEY, P.A.
Entity Type:Organization
Organization Name:DEV. K. VARSHNEY, P.A.
Other - Org Name:FAMILY MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEVENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:VARSHNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-876-3511
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:CARRIZO SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78834-6100
Mailing Address - Country:US
Mailing Address - Phone:830-876-3511
Mailing Address - Fax:830-876-9434
Practice Address - Street 1:300 S 5TH ST
Practice Address - Street 2:
Practice Address - City:CARRIZO SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78834-3802
Practice Address - Country:US
Practice Address - Phone:830-876-3511
Practice Address - Fax:830-876-9434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112082601Medicaid
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