Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mobin T Varghese

Individual provider Family Nurse Practitioner · NPI 1114504248

Mobin T Varghese is a Nurse Practitioner in Dallas, Texas. Qualified in 2019, 7 years ago. Practices with Dallas Nephrology Associates, a 154-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3604 Live Oak St Ste 100
Dallas, TX 75204-6169
Phone: (214) 358-2300
Fax: (214) 366-6331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1020382 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1020382 (TX)

Record details

NPI number1114504248
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dallas Nephrology Associates — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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