DETAR SENIOR CARE CENTER – NPI #1619172467
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

DETAR SENIOR CARE CENTER is a provider located in VICTORIA, TX. NPPES has assigned the NPI number 1619172467 to DETAR SENIOR CARE CENTER on June 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DETAR SENIOR CARE CENTER” is a dba name, the actual legal business name for this organization is VICTORIA OF TEXAS LP. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 15 years ago on Jun 30, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DETAR SENIOR CARE CENTER below.

NPI Profile for
VICTORIA OF TEXAS LP

NPI Number
1619172467
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VICTORIA OF TEXAS LP
Doing Business As (dba): DETAR SENIOR CARE CENTER
Primary location
605 E SAN ANTONIO ST
SUITE 310E
VICTORIA, TX 77901-6040
Phone: (361) 575-0228 Fax: (361) 575-0782
Mailing address
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone: Fax:
Organization Subpart
Yes - DETAR SENIOR CARE CENTER is subpart of another organization.
Authorized Official
DEBBIE BREWER
DIRECTOR OF PROVIDER ENROLLMENT
Phone: (877) 892-9813
Updated
Identifiers

Identifiers for DETAR SENIOR CARE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS00GT06
MEDICAIDTX093825001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
363L00000X
- Nurse Practitioner
207R00000X
- Internal Medicine
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.