VICTORIA PEDIATRICS & ADOLESCENTS ASSOC. NPI 1033128772

NPI Information

NPI: 1033128772
Provider Name: VICTORIA PEDIATRICS & ADOLESCENTS ASSOC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4304 RETAMA CIR
VICTORIA, TX
ZIP 77901
Phone: (361) 576-2134
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VICTORIA PEDIATRICS & ADOLESCENTS ASSOC. is a primary care clinic center in Victoria, TX. VICTORIA PEDIATRICS & ADOLESCENTS ASSOC. NPI is 1033128772. The provider is registered as an organization entity type.

The provider's business location address is:

4304 RETAMA CIR
VICTORIA, TX
ZIP 77901-767
Phone: (361) 576-2134
Fax: (361) 578-0221

The provider's authorized official is Felix F Regueira .
The authorized official title is President and has the following contact phone number (361) 576-2134.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 6/24/2008.

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	261QP2300X	Clinic/Center	Primary Care	E9354	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	G33865	MEDICARE UPIN	TEXAS
2	092298101	MEDICAID	TEXAS
3	4331614	OTHER	TEXAS	AETNA
4	82920X	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
5	092298102	MEDICAID	TEXAS
6	0059DJ	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
7	060378901	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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