MEDICARE: DR. VICTOR E. BATTLES M.D.

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
1	207R00000X	Internal Medicine Physician	F6424	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912125436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTOR E. BATTLES M.D.

Provider Business Mailing Address
First Line	:	10193 FIELDCREST DR
Second Line	:
City	:	BENBROOK
State	:	TX
Zip	:	76126-9503
Country	:	US
Telephone Number	:	817-249-2710
Fax Number	:	817-249-7920

Provider Business Practice Location Address
First Line	:	4200 SOUTH FWY
Second Line	:	SUITE 418
City	:	FORT WORTH
State	:	TX
Zip	:	76115-1400
Country	:	US
Telephone Number	:	817-366-4129
Fax Number	:	817-249-7920

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2007
Last Update Date	:	07/09/2007

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