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NPI Code Detail

MEDICARE: VICTORIA OF TEXAS LP

MEDICARE: VICTORIA OF TEXAS LP
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
1273Y00000XRehabilitation Hospital Unit000453TX

General Provider Information

NPI Number : 1053366625
Entity Type Code : Organization
Provider Name (Legal Business Name) : VICTORIA OF TEXAS LP
Provider Business Mailing Address
First Line : PO BOX 848541
Second Line :
City : DALLAS
State : TX
Zip : 75284-8541
Country : US
Telephone Number : 361-575-7441
Fax Number : 361-788-6114
Provider Business Practice Location Address
First Line : 506 E SAN ANTONIO ST
Second Line :
City : VICTORIA
State : TX
Zip : 77901-6060
Country : US
Telephone Number : 361-575-7441
Fax Number : 361-788-2693
Authorized Official
Title or Position : DIRECTOR/DELEGATED OFFICIAL
Name : PAULA LALOR
Credential :
Telephone Number : 629-215-3953
Provider Enumeration Date : 05/23/2006
Last Update Date : 08/27/2024

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Directions to “VICTORIA OF TEXAS LP ” Practice Location

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