Healthcare Provider Details

I. General information

NPI: 1881973873
Provider Name (Legal Business Name): VICTOR HUGO BARNICA ELVIR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2011
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21212 NORTHWEST FWY STE 235
CYPRESS TX
77429-5885
US

IV. Provider business mailing address

PO BOX 911230
DALLAS TX
75391-1230
US

V. Phone/Fax

Practice location:
  • Phone: 832-220-3020
  • Fax: 833-471-3924
Mailing address:
  • Phone: 972-997-8000
  • Fax: 972-234-2987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD2016-0006
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberMD2016-0006
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberU1470
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: