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Victor Songbandith Llc
Preferred Provider Organization in Presidio, Texas
NPI 1801036686

Victor Songbandith Llc is a Preferred Provider Organization based in El Paso, TX. Victor Songbandith Llc practices in Presidio, TX. The NPI Number for Victor Songbandith Llc is 1801036686 and holds a License No. L0612 (Texas).

The current practice location address for Victor Songbandith Llc is 101 North Erma, Presidio, TX and can be reached out via phone at 432-229-4246 and via fax at 432-229-4249.

Location: 101 North Erma, Presidio, TX, 79936-4329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801036686
Provider Name
Victor Songbandith Llc
Credential
Provider Entity Type
Organization
Address
101 North Erma, Presidio, TX, 79936-4329
Phone Number
432-229-4246
Fax Number
432-229-4249
Provider Enumeration Date
03/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
213263102 01 TX MEDICAID PART B
673912 01 TX MEDICARE PART A PTAN
213263101 01 TX MEDICAID PART A
TXB161127 01 TX MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
101 North Erma
City
Presidio
State
Texas
Zip
79845-0693
Phone Number
432-229-4246
Fax Number
432-229-4249
person
Provider Business Mailing Address Details
Address
101 North Erma
City
Presidio
State
Texas
Zip
79845-0693
Phone Number
432-229-4246
Fax Number
432-229-4249
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
L0612 (Texas)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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