Victor A Estrada Md Chtd

NPI 1801200480 - Specialist - 174400000X

NPI Details
NPI 1801200480
Enumeration Date 06/11/2014
Last Updated 06/11/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name VICTOR A VICTOR
Position MEMBER
Phone (702) 735-1556
Fax
Practice Location
4445 S EASTERN AVE
SUITE A
LAS VEGAS NV, 89119-7851, US
Phone (702) 735-1556
Fax
Business Location
14615 SAN PEDRO AVE
SUITE 250
SAN ANTONIO TX, 78232-4321, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State Nevada
License Number 14049
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According to our database, Victor A Estrada Md Chtd NPI is 1801200480, taxonomy code is 174400000X and license number is 14049, license state is located at Nevada. Victor A Estrada Md Chtd physically located at 4445 S Eastern Ave, Las Vegas NV, 89119-7851. NPI Number 1033115704 has the healthcare provider type.

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1801200480 NPI number is provided on an as is basis without warranty of any kind. 1801200480 is maintained by the National Plan & Provider Enumeration System. The contents of Victor A Estrada Md Chtd are for informational purposes only.