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NPI Code Detail

MEDICARE: VICTOR SERRANO MD

MEDICARE: VICTOR SERRANO 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
1207RN0300XNephrology PhysicianU9661TX
2207R00000XInternal Medicine Physician694967TX
3207R00000XInternal Medicine PhysicianU9661TX
4390200000XStudent in an Organized Health Care Education/Training Program841118470PR

General Provider Information

NPI Number : 1316471261
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTOR SERRANO MD
Provider Business Mailing Address
First Line : 5940 CROSSLAKE PKWY
Second Line :
City : WACO
State : TX
Zip : 76712-6986
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5940 CROSSLAKE PKWY
Second Line :
City : WACO
State : TX
Zip : 76712-6986
Country : US
Telephone Number : 254-666-8988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2017
Last Update Date : 06/24/2024

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Directions to “ VICTOR SERRANO MD” Practice Location

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