Victoria Orthopedic & Sports Medicine Clinic

NPI 1811100506 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1811100506
Enumeration Date 05/08/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES PAUL CHARLES
Position OWNER
Phone (361) 576-0633
Fax (361) 576-0369
Practice Location
605 E SAN ANTONIO ST STE 520E
VICTORIA TX, 77901-6086, US
Phone (361) 576-0633
Fax (361) 576-0369
Business Location
605 E SAN ANTONIO ST STE 520E
VICTORIA TX, 77901-6086, US
Phone (361) 576-0633
Fax
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Victoria Orthopedic & Sports Medicine Clinic NPI is 1811100506, taxonomy code is 332B00000X Victoria Orthopedic & Sports Medicine Clinic physically located at 605 E San Antonio St Ste 520e, Victoria TX, 77901-6086. NPI Number 1033115704 has the healthcare provider type.

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1811100506 NPI number is provided on an as is basis without warranty of any kind. 1811100506 is maintained by the National Plan & Provider Enumeration System. The contents of Victoria Orthopedic & Sports Medicine Clinic are for informational purposes only.