Provider Demographics
NPI:1962542225
Name:VARGA, MARIANA GEORGETA (MD)
Entity type:Individual
Prefix:
First Name:MARIANA
Middle Name:GEORGETA
Last Name:VARGA
Suffix:
Gender:F
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:PO BOX 11824
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4009
Mailing Address - Country:US
Mailing Address - Phone:512-900-2477
Mailing Address - Fax:512-900-2478
Practice Address - Street 1:3001 BEE CAVE RD STE 210
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5590
Practice Address - Country:US
Practice Address - Phone:512-900-2477
Practice Address - Fax:512-900-2478
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP20772081N0008X, 2084N0008X, 2084N0400X, 2084B0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular Medicine
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine
No2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DP086OtherBCBS OF TEXAS
TX263164YL9KMedicare PIN