Provider Type Icon

VICTORIA OF TEXAS LP NPI 1619172467


NPI Information

NPI: 1619172467
Provider Name: VICTORIA OF TEXAS LP

Doing Business As: DETAR SENIOR CARE CENTER

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
605 E SAN ANTONIO ST
SUITE 310E
VICTORIA, TX
ZIP 77901
Phone: (361) 575-0228
Get Directions

VICTORIA OF TEXAS LP is an emergency medicine in Victoria, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. VICTORIA OF TEXAS LP NPI is 1619172467. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Detar Senior Care Center.

The provider's business location address is:

605 E SAN ANTONIO ST
SUITE 310E
VICTORIA, TX
ZIP 77901-040
Phone: (361) 575-0228
Fax: (361) 575-0782

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 6/20/2007 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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3363L00000XNurse PractitionerNo
4207P00000XEmergency MedicineYes

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
1093825001MEDICAIDTEXAS
200GT06OTHERBLUE CROSS
300GT06MEDICARE PIN
4CB6305MEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.