VICTORIA OF TEXAS LP NPI 1003141128

NPI Information

NPI: 1003141128
Provider Name: VICTORIA OF TEXAS LP

Doing Business As: DETAR HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
506 E SAN ANTONIO ST
VICTORIA, TX
ZIP 77901
Phone: (361) 575-7441
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VICTORIA OF TEXAS LP is a critical access general acute care hospital in Victoria, TX. VICTORIA OF TEXAS LP NPI is 1003141128. The provider is registered as an organization entity type.
The provider Is Doing Business As Detar Hospital.

The provider's business location address is:

506 E SAN ANTONIO ST
VICTORIA, TX
ZIP 77901-060
Phone: (361) 575-7441
Fax: (361) 788-6114

The provider's authorized official is Laurie Holtsford .
The authorized official title is Authorized Official and has the following contact phone number (615) 465-7466.

The enumeration date for this NPI number is 10/7/2009 and was last updated on 10/7/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	000453	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	025223101	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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