DETAR HOSPITAL NAVARRO – NPI #1558453902
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

DETAR HOSPITAL NAVARRO is a provider located in VICTORIA, TX. NPPES has assigned the NPI number 1558453902 to DETAR HOSPITAL NAVARRO on September 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DETAR HOSPITAL NAVARRO” 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 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

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 HOSPITAL NAVARRO below.

NPI Profile for
VICTORIA OF TEXAS LP

NPI Number
1558453902
Enumeration Date

(more than 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 HOSPITAL NAVARRO
Primary location
506 E SAN ANTONIO ST
VICTORIA, TX 77901-6060
Phone: (361) 575-7441 Fax: (361) 788-6114
Mailing address
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone: Fax:
Organization Subpart
No
Authorized Official
DEBBIE BREWER
DIRECTOR OF PROVIDER ENROLLMENT
Phone: (877) 892-9813
Updated
Identifiers

Identifiers for DETAR HOSPITAL NAVARRO

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
MEDICAIDTX187389502
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.

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.