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NPI Code Detail

MEDICARE: VICTORIA W SERRALTA MD

MEDICARE:   VICTORIA W SERRALTA  MD
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
1207N00000XDermatology PhysicianM1338TX

General Provider Information

NPI Number : 1154366870
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA W SERRALTA MD
Provider Business Mailing Address
First Line : 8015 S COOPER ST
Second Line :
City : ARLINGTON
State : TX
Zip : 76001-7018
Country : US
Telephone Number : 817-453-4440
Fax Number : 817-453-7755
Provider Business Practice Location Address
First Line : 8015 S COOPER ST
Second Line :
City : ARLINGTON
State : TX
Zip : 76001-7018
Country : US
Telephone Number : 817-453-4440
Fax Number : 817-453-7755
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 10/21/2010

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Directions to “ VICTORIA W SERRALTA MD” Practice Location

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