MEDICARE: VICTORIA ENT ASSOCIATES, LLP

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	207Y00000X	Otolaryngology Physician		TX

General Provider Information

NPI Number	:	1962480392
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICTORIA ENT ASSOCIATES, LLP

Provider Business Mailing Address
First Line	:	117 MEDICAL DR
Second Line	:	SUITE #1
City	:	VICTORIA
State	:	TX
Zip	:	77904-3113
Country	:	US
Telephone Number	:	361-573-4331
Fax Number	:	361-573-5096

Provider Business Practice Location Address
First Line	:	117 MEDICAL DR
Second Line	:	SUITE #1
City	:	VICTORIA
State	:	TX
Zip	:	77904-3113
Country	:	US
Telephone Number	:	361-573-4331
Fax Number	:	361-573-5096

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	JOSEPH THANG HOANG
Credential	:	M.D.
Telephone Number	:	361-573-4331

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1376534297 — ELMER DARYL BICKFORD M.D.
Practice Location Address:

117 MEDICAL DR , SUITE 1
VICTORIA, TX
77904-3113

Practice Phone: 361-573-4331
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1790597763 — MERIDEE LUCAS
Practice Location Address:

1115 VICTORIA DR
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1699462564 — VICTORIA TX CAREGIVING LLC
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77904-1551

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1558301150 — IRMA MICKLE NP
Practice Location Address:

9006 N NAVARRO ST STE B
VICTORIA, TX
77904-1566

Practice Phone: 361-485-0500
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1497758783 — DR. ROBERT E LEE III DDS
Practice Location Address:

106 PROFESSIONAL PARK DR
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77904-2351

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1255336798 — DR. CHARLES RICHARD MABRAY M.D.
Practice Location Address:

115 MEDICAL DR , STE 202
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77904-3102

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Practice Fax:

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