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VICTORIA OF TEXAS LP NPI 1558453902


NPI Information

NPI: 1558453902
Provider Name: VICTORIA OF TEXAS LP

Doing Business As: DETAR HOSPITAL NAVARRO

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
506 E SAN ANTONIO ST
VICTORIA, TX
ZIP 77901
Phone: (361) 575-7441
Get Directions

VICTORIA OF TEXAS LP is a hematology and oncology internal medicine in Victoria, TX. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. VICTORIA OF TEXAS LP NPI is 1558453902. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Detar Hospital Navarro.

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 Debbie Brewer .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (877) 892-9813.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 6/30/2011.


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
1133V00000XDietitian, RegisteredNo
2363LF0000XNurse PractitionerFamilyNo
3207RH0003XInternal MedicineHematology & OncologyYes

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
100X498MEDICARE PIN
2187389502MEDICAIDTEXAS

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

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