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NPI Code Detail

MEDICARE: VICTOR MANUEL LIZARRAGA M.D.

MEDICARE: VICTOR MANUEL LIZARRAGA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianQ5473TX

General Provider Information

NPI Number : 1730400995
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTOR MANUEL LIZARRAGA M.D.
Provider Business Mailing Address
First Line : 4223 RICHMOND AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77027-6856
Country : US
Telephone Number : 713-351-5000
Fax Number :
Provider Business Practice Location Address
First Line : 4223 RICHMOND AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77027-6856
Country : US
Telephone Number : 713-351-5000
Fax Number : 713-351-0636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2010
Last Update Date : 02/01/2023

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