institution
Victoria Pediatrics & Adolescents Assoc.
Primary Care Clinic/Center in Victoria, Texas
NPI 1033128772

Victoria Pediatrics & Adolescents Assoc. is a Primary Care Clinic/Center based in Victoria, TX and is specialized in Primary Care. Victoria Pediatrics & Adolescents Assoc. practices in Victoria, TX. The NPI Number for Victoria Pediatrics & Adolescents Assoc. is 1033128772 and holds a License No. E9354 (Texas).

The current practice location address for Victoria Pediatrics & Adolescents Assoc. is 4304 Retama Cir, Victoria, TX and can be reached out via phone at 361-576-2134 and via fax at 361-578-0221.

Location: 4304 Retama Cir, Victoria, TX, 77901-2767
institution
Provider Profile Details
NPI Number
1033128772
Provider Name
Victoria Pediatrics & Adolescents Assoc.
Credential
Provider Entity Type
Organization
Address
4304 Retama Cir, Victoria, TX, 77901-2767
Phone Number
361-576-2134
Fax Number
361-578-0221
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0059DJ 01 TX BLUE CROSS BLUE SHIELD
092298101 05 TX
092298102 05 TX
4331614 01 TX AETNA
82920X 01 TX BLUE CROSS BLUE SHIELD
060378901 05 TX
institution
Provider Business Practice Location Address Details
Address
4304 Retama Cir
City
State
Zip
77901-2767
Phone Number
361-576-2134
Fax Number
361-578-0221
person
Provider Business Mailing Address Details
Address
4304 Retama Cir
City
State
Zip
77901-2767
Phone Number
361-576-2134
Fax Number
361-578-0221
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
E9354 (Texas)
Definition
Definition to come...
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