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NPI Code Detail

MEDICARE: VICTORIA ALLON NUTTING

MEDICARE: VICTORIA ALLON NUTTING
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
1207Q00000XFamily Medicine PhysicianT9200TX

General Provider Information

NPI Number : 1194302315
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA ALLON NUTTING
Provider Business Mailing Address
First Line : 6716 ALEWA PL
Second Line :
City : DIAMONDHEAD
State : MS
Zip : 39525-3429
Country : US
Telephone Number : 228-363-4717
Fax Number :
Provider Business Practice Location Address
First Line : 5718 WESTHEIMER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77057-5745
Country : US
Telephone Number : 832-957-6200
Fax Number : 281-895-3083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2021
Last Update Date : 07/31/2024

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Directions to “ VICTORIA ALLON NUTTING ” Practice Location

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