Provider Demographics
NPI:1699193276
Name:VARUGHESE, LINCE K (MD)
Entity type:Individual
Prefix:DR
First Name:LINCE
Middle Name:K
Last Name:VARUGHESE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6520 ALLIANCE DR UNIT 110
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-0056
Mailing Address - Country:US
Mailing Address - Phone:469-242-0522
Mailing Address - Fax:469-848-8244
Practice Address - Street 1:6520 ALLIANCE DR UNIT 110
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-0056
Practice Address - Country:US
Practice Address - Phone:469-242-0522
Practice Address - Fax:469-848-8244
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2024-12-06
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Provider Licenses
StateLicense IDTaxonomies
LA306683207Q00000X
TXR67002083P0011X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine