Refresh IV Hydration Services LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

REFRESH IV HYDRATION SERVICES LLC

Practice address

3960 Broadway Blvd Ste 205
Garland, TX 75043-2587

Phone

(469) 972-7252

NPI assigned

Nov 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bincy Varughese, FNP

Title

Owner/FNP

Phone

(469) 972-7252

Specialties & licenses 1

Addresses

Other names 1

• Refresh Wellness Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1073222568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 BROADWAY BLVD STE 205",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432587",
            "telephone_number": "469-972-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 BROADWAY BLVD STE 205",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432587",
            "telephone_number": "469-972-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFRESH IV HYDRATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "VARUGHESE",
        "authorized_official_first_name": "BINCY",
        "authorized_official_title_or_position": "OWNER/FNP",
        "authorized_official_telephone_number": "469-972-7252",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Refresh Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Nurse Practitioner in Garland, TX
• Providers in Garland, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.